Individual
NAKEYAE STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
720 WOODLAND AVE APT 5, FRANKFORT, KY 40601-3443
(502) 229-6777
Mailing address
720 WOODLAND AVE APT 5, FRANKFORT, KY 40601-3443
(502) 229-6777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
105279
KY
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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