Individual
MR. ERIC J BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CMMT
Contact information
Practice address
366 WALLER AVE, STE 106, LEXINGTON, KY 40504-2916
(859) 381-9503
(859) 309-1808
Mailing address
366 WALLER AVE, STE 106, LEXINGTON, KY 40504-2916
(859) 381-9503
(859) 309-1808
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
526987-07
KY
225700000X
Massage Therapist
Primary
KY-2031
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
526987-07
NCBTMB CERT
KY
Enumeration date
10/14/2010
Last updated
11/17/2014
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