Individual
KENNETH JAMES ROBERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9420 TOWNE SQUARE AVE, SUITE #3, BLUE ASH, OH 45242-6922
(812) 989-2489
Mailing address
9420 TOWNE SQUARE AVE, SUITE #3, BLUE ASH, OH 45242-6922
(812) 989-2489
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020162
OH
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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