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Individual

PHYLLIS ALANYA NUNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
840 N 24TH ST, PADUCAH, KY 42001-3028
(270) 519-3514
(270) 494-2172
Mailing address
840 N 24TH ST, PADUCAH, KY 42001-3028
(270) 519-3514
(270) 494-2172

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
172141
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1760042469
NPI NUMBER
Enumeration date
06/17/2019
Last updated
12/20/2022
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