Individual
ANGEL LYNN WOSSUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7100 DIXIE HWY STE C, FLORENCE, KY 41042-2098
(859) 283-1990
Mailing address
10624 SUNNYS HALO CT, UNION, KY 41091-7141
(859) 630-6537
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107549
KY
225700000X
Massage Therapist
KY-0030
KY
Other
Enumeration date
02/02/2012
Last updated
02/27/2019
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