Individual
REBECCA A CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
133 S KILLARNEY LN, RICHMOND, KY 40475-2309
(859) 661-5084
Mailing address
133 S KILLARNEY LN, RICHMOND, KY 40475-2309
(859) 661-5084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
167973
KY
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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