Individual
MRS. DIANA LYNN MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1100 E MAIN ST, RICHMOND, KY 40475-2028
(859) 200-3148
Mailing address
106 MALLORY CT APT 3, RICHMOND, KY 40475-8153
(859) 200-3148
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1919
KY
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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