Organization
CORBIN MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M. HARDY LMT (OWNER/ OPERATOR)
(606) 258-1995
Entity
Organization
Contact information
Practice address
1805 S MAIN ST STE 4, CORBIN, KY 40701-2405
(606) 258-1995
(606) 258-1996
Mailing address
1805 S MAIN ST STE 4, CORBIN, KY 40701-2405
(606) 258-1995
(606) 258-1996
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY0427
KY
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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