Organization
RAJA WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNYMARIE GREENOUGH LAC (OWNER)
(270) 506-3853
Entity
Organization
Contact information
Practice address
3044 RING RD, ELIZABETHTOWN, KY 42701-7932
(270) 681-5074
(855) 290-1817
Mailing address
3044 RING RD, ELIZABETHTOWN, KY 42701-7932
(270) 681-5074
(855) 290-1817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
171100000X
Acupuncturist
Primary
AC086
KY
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/09/2017
Last updated
12/04/2023
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