Individual
AMY LOUISE WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8215 SHELBYVILLE RD, LOUISVILLE, KY 40222-5421
(502) 634-1867
Mailing address
8215 SHELBYVILLE RD, LOUISVILLE, KY 40222-5421
(502) 634-1867
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
108882
KY
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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