Individual
MS. JENNIFER L CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10306 SHELBYVILLE RD, LOUISVILLE, KY 40223-2914
(502) 245-7334
Mailing address
10206 EASUM RD, LOUISVILLE, KY 40299-4118
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
167182
KY
225700000X
Massage Therapist
Primary
167182
KY
390200000X
Student in an Organized Health Care Education/Training Program
167182
KY
Other
Enumeration date
07/06/2016
Last updated
05/08/2020
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