Individual
KODI GIOVANNA WINDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 S WILSON RD APT 1, RADCLIFF, KY 40160-8935
(253) 442-7331
Mailing address
PO BOX 627, RADCLIFF, KY 40159-0627
(253) 442-7331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
170835
KY
Other
Enumeration date
11/30/2016
Last updated
04/10/2017
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