Individual
JENNIFER COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
855 LOVERS LN STE 104, BOWLING GREEN, KY 42103-7989
(270) 791-4413
Mailing address
6340 MOUNT OLIVET RD, BOWLING GREEN, KY 42101-9634
(270) 791-4413
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY5079
KY
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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