Individual
DENISE LYNN JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7911 MALL RD, FLORENCE, KY 41042-1409
(859) 991-2589
Mailing address
618 IVY RIDGE DR, COLD SPRING, KY 41076-8839
(859) 991-2589
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
240639
KY
225700000X
Massage Therapist
33.024006
OH
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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