Individual
ANISHA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2607 PIONEER RD, LOUISVILLE, KY 40216-4839
(502) 407-1625
Mailing address
2607 PIONEER RD, LOUISVILLE, KY 40216-4839
(502) 407-1625
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4895
KY
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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