Organization
MILL POND INTEGRATIVE HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN PEARCE (CLINIC DIRECTOR)
(859) 219-0617
Entity
Organization
Contact information
Practice address
3650 BOSTON RD, SUITE 188, LEXINGTON, KY 40514-1569
(859) 219-0617
(859) 219-0622
Mailing address
3650 BOSTON RD, SUITE 188, LEXINGTON, KY 40514-1569
(859) 219-0617
(859) 219-0622
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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