Individual
MELISSA DAWN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3150 CUSTER DR STE 100, LEXINGTON, KY 40517-4010
(859) 457-4619
Mailing address
1521 SPRINGFIELD DR, LEXINGTON, KY 40515-5884
(502) 631-5026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4519
KY
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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