Individual
GARY MUNCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
607 EAST BRANDEIS AVE, LOUISVILLE, KY 40217
(502) 641-4357
Mailing address
607 E BRANDEIS AVE, LOUISVILLE, KY 40217-2126
(502) 641-4357
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-3941
KY
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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