Individual
MRS. ANDREA NORENNE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5119 U.S. HIGHWAY 62, CALVERT CITY, KY 42029
(270) 395-0522
Mailing address
PO BOX 321, CALVERT CITY, KY 42029-0321
(270) 395-0522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-2023
KY
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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