Individual
JENNIFER MICHELE COYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,CMLDT
Contact information
Practice address
4400 BRECKENRIDGE LN, LOUISVILLE, KY 40218-4135
(502) 242-8318
Mailing address
8201 MONTERO DR, PROSPECT, KY 40059-9407
(502) 432-6491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
165604
KY
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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