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Individual

REGINA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANMT

Contact information

Practice address
4618 W MARKET ST UNIT 106, LOUISVILLE, KY 40212-2670
(925) 587-9311
Mailing address
4618 W MARKET ST UNIT 106, LOUISVILLE, KY 40212-2670
(925) 587-9311

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
252117
KY

Other

Enumeration date
03/02/2021
Last updated
03/02/2021
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