Individual
MELANIE BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 LINDSEY ST, NEWPORT, KY 41071-3412
(630) 747-6443
Mailing address
325 LINDSEY ST, NEWPORT, KY 41071-3412
(630) 747-6443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2055
KY
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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