Individual
MS. ANDREA BETH ENGLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
404 STARLITE DR, ELIZABETHTOWN, KY 42701-4425
(270) 312-9550
Mailing address
404 STARLITE DR, ELIZABETHTOWN, KY 42701-4425
(270) 312-9550
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-3875
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KY-3875
KENTUCKY BOARD OF LICENSURE, MASSAGE THERAPIST LICENSE
KY
Enumeration date
08/04/2011
Last updated
08/04/2011
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