Individual
MS. HAILEY BETH WILSON GALLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
800 ROSE STREET, 3RD FLOOR WHITNEY HENDRICKSON, LEXINGTON, KY 40536-0098
(859) 323-4325
(859) 257-0661
Mailing address
2000 PLANTERS CT, LEXINGTON, KY 40514-5916
(859) 333-0833
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
107228
KY
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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