Individual
LARA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
800 STONE CREEK PKWY, SUITE 8, LOUISVILLE, KY 40223-5366
(502) 376-8653
Mailing address
125 PARK RIDGE DR, MOUNT WASHINGTON, KY 40047-6867
(502) 376-8653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107738
KY
Other
Enumeration date
06/11/2013
Last updated
07/27/2016
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