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Organization

MERIDIAN LINES, LLC

Active
Other names
elements therapeutic massage
Organization subpart
No

Provider details

NPI number
Authorized official
MARY COLLEEN O'CONNOR LMT (MANAGER)
(502) 609-1768
Entity
Organization

Contact information

Practice address
1301 HERR LN, LOUISVILLE, KY 40222-4377
(502) 412-9383
(502) 412-9384
Mailing address
2016 EASTERN PKWY, LOUISVILLE, KY 40204-1407
(502) 609-1768
(859) 201-1057

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1925
KY

Other

Enumeration date
03/23/2010
Last updated
03/23/2010
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