Individual
MISS HALLIANDA MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT.
Contact information
Practice address
10701 W MANSLICK RD, FAIRDALE, KY 40118-9581
(502) 367-2112
(502) 367-7799
Mailing address
10701 W. MANSLICK RD., FAIRDALE, KY 40118
(502) 367-2112
(502) 367-7799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
170836
KY
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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