Individual
MISS LATICHIA GAIL CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
220 MAMMOTH CAVE STREET, CAVE CITY, KY 42127
(270) 773-7182
Mailing address
8704 JACKSON HWY, CAVE CITY, KY 42127-9168
(270) 773-7182
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-0218
KY
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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