Organization
ELEMENTS THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN O'CONNOR LMT (MANAGER)
(502) 412-9383
Entity
Organization
Contact information
Practice address
1301 HERR LN, SUITE 120, LOUISVILLE, KY 40222-4388
(502) 412-9383
Mailing address
1301 HERR LN, SUITE 120, LOUISVILLE, KY 40222-4388
(502) 412-9383
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3844
KY
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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