Individual
MRS. ADA S SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22 DORSEY SPENCER RD., PINE RIDGE, KY 41360
(606) 362-7959
Mailing address
1080 KY 715, ROGERS, KY 41365-8331
(606) 362-7959
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-4051
KY
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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