Individual
MR. NATHAN G TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2134 NICHOLASVILLE RD STE 12, LEXINGTON, KY 40503-2521
(502) 661-1777
(859) 554-5287
Mailing address
3620 WALDEN DR STE 25, LEXINGTON, KY 40517-2069
(502) 661-1777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107855
KY
Other
Enumeration date
10/19/2023
Last updated
07/18/2025
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