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Individual

MS. JESSICA MARIE RUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
260 CROSSFIELD DR., UNIT 2, VERSAILLES, KY 40383
(859) 879-0024
(859) 879-1102
Mailing address
260 CROSSFIELD DR., UNIT 2, VERSAILLES, KY 40383
(859) 879-0024
(859) 879-1102

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3907
KY

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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