Individual
TARA D GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
401 W MAIN ST, SUITE 207, LEXINGTON, KY 40507-1640
(859) 443-4292
(502) 808-6074
Mailing address
401 W MAIN ST, SUITE 207, LEXINGTON, KY 40507-1640
(859) 443-4292
(502) 808-6074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4166
KY
Other
Enumeration date
04/26/2016
Last updated
03/23/2018
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