Individual
MRS. TERRI WALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5514 REIDLAND RD, PADUCAH, KY 42003-0955
(270) 331-8585
(270) 898-8530
Mailing address
5514 REIDLAND RD, PADUCAH, KY 42003-0955
(270) 331-8585
(270) 898-8530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3957
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3957
MASSAGE LICENSE
KY
Enumeration date
04/07/2014
Last updated
04/07/2014
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