Individual
AMBER LEE MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2035 REGENCY RD STE 103, LEXINGTON, KY 40503-2333
(859) 420-4577
Mailing address
2035 REGENCY RD STE 103, LEXINGTON, KY 40503-2333
(859) 420-4577
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
252820
KY
Other
Enumeration date
04/10/2022
Last updated
04/10/2022
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