Organization
BLUEGRASS MASSAGE THERAPUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE LEIGH POFF LMT (MASSAGE THERAPIST)
(270) 422-3694
Entity
Organization
Contact information
Practice address
365 EAST BROADWAY SUITE 2, BRANDENBURG, KY 40108
(270) 422-3694
Mailing address
365 EAST BROADWAY SUITE 2, BRANDENBURG, KY 40108
(270) 422-3694
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
KY2052
KY
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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