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Individual

MR. ROBERT K JENNETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
5105 DIXIE HWY STE 102, LOUISVILLE, KY 40216-1701
(502) 449-5955
Mailing address
5105 DIXIE HWY STE 102, LOUISVILLE, KY 40216-1701
(502) 449-5955
(502) 449-5956

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
109683
KY

Other

Enumeration date
03/07/2022
Last updated
03/07/2022
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