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Individual

ALBERT IGNACIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT, CMMP

Contact information

Practice address
401 W MAIN ST, SUITE 207, LEXINGTON, KY 40507-1640
(859) 443-4292
(502) 808-6074
Mailing address
401 W MAIN ST, SUITE 207, LEXINGTON, KY 40507-1640
(859) 443-4292
(502) 808-6074

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0574
KY

Other

Enumeration date
04/26/2016
Last updated
04/26/2016
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