Individual
MARY DOWNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
164 PLAZA DR, BEREA, KY 40403-2062
(239) 207-0731
Mailing address
PO BOX 1420, MC KEE, KY 40447-1420
(606) 287-1578
(606) 287-1578
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY2229
KY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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