Individual
SAMATHA JO MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7006 HARVEST GOLD WAY, APT # 3, LOUISVILLE, KY 40291-5757
(859) 582-7593
Mailing address
7006 HARVEST GOLD WAY, APT # 3, LOUISVILLE, KY 40291-5757
(859) 582-7593
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-2536
KY
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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