Individual
MRS. TERESA RICHIE STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
106 MANOR AVE, SUITE 201, BARDSTOWN, KY 40004
(502) 349-7799
(502) 349-7797
Mailing address
111 DEEP SPRINGS DR, BARDSTOWN, KY 40004
(502) 349-7799
(502) 349-7797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY0222
KY
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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