Individual
LESLI DAUENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1922 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051-7901
(859) 363-1000
Mailing address
2110 STARLIGHT LN, INDEPENDENCE, KY 41051-7416
(309) 287-5500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
BMTMTH00224978
KY
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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