Individual
ELSA UNDERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 BAXTER AVE, LOUISVILLE, KY 40204-2046
(502) 895-6992
Mailing address
915 BAXTER AVE, LOUISVILLE, KY 40204-2046
(502) 895-6992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4393
KY
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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