Individual
SUSAN JUNE LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2850 ADAMS ST, SUITE 1, PADUCAH, KY 42001
(270) 442-7377
Mailing address
2850 ADAMS ST, SUITE 1, PADUCAH, KY 42001
(270) 928-4351
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
KY-2185
KY
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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