Individual
KATHY BRACKETT BENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
100 BAUGHMAN AVE., SUIT B, DANVILLE, KY 40422
(859) 691-1119
Mailing address
100 BAUGHMAN AVE, SUITE B, DANVILLE, KY 40422-2399
(859) 691-1119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2272
KY
Other
Enumeration date
11/08/2016
Last updated
03/23/2017
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