Individual
DONNA MICHELLE OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
5129 DIXIE HWY STE 105, LOUISVILLE, KY 40216-1729
(502) 272-4700
Mailing address
5129 DIXIE HWY STE 105, LOUISVILLE, KY 40216-1729
(502) 272-4700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
109686
KY
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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