Individual
CASSIE JO HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
923 COLLEGE ST, SUITE 1C, BOWLING GREEN, KY 42101-2195
(270) 799-2509
Mailing address
923 COLLEGE ST, SUITE 1C, BOWLING GREEN, KY 42101-2195
(270) 799-2509
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2064
KY
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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