Individual
MARK STEPHEN CHISENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, LMT
Contact information
Practice address
3955 ALEXANDRIA PIKE, COLD SPRING, KY 41076-2027
(859) 431-4430
Mailing address
3955 ALEXANDRIA PIKE, COLD SPRING, KY 41076-2027
(859) 431-4430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1295453
KY
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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