Organization
MIRACLE MASSAGE AND THERAPY CENTER CORP
Active
Other names
MIRACLE MASSAGE AND THERAPY CENTER CORP
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL BORREGO PRESIDENT (PRESIDENT)
(502) 762-5645
Entity
Organization
Contact information
Practice address
3715 BARDSTOWN RD, SUITE 217, LOUISVILLE, KY 40218-2244
(502) 762-5645
(502) 454-7784
Mailing address
3715 BARDSTOWN RD, SUITE 217, LOUISVILLE, KY 40218-2244
(502) 762-5645
(502) 454-7784
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
KY
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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