Individual
PHILLIP DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2121 RICHMOND ROAD, SUITE 200, LEXINGTON, KY 40502
(859) 396-7753
Mailing address
2121 RICHMOND ROAD, SUITE 200, LEXINGTON, KY 40502
(859) 396-7753
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
163948
KY
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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