Individual
JULIE GRIGSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 LEESTOWN RD STE 338, LEXINGTON, KY 40511-2047
(859) 317-8295
Mailing address
1000 BELLA DONA RD, LEXINGTON, KY 40515-6476
(859) 421-7932
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
KY-4162
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPIST
KY
Enumeration date
04/29/2015
Last updated
04/29/2015
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