Individual
PHILLIP D DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
363 CREEK TRACE RD, ALEXANDRIA, KY 41001
(859) 635-1095
Mailing address
363 CREEK TRACE RD, ALEXANDRIA, KY 41001
(859) 635-1095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
33-014292
OH
225700000X
Massage Therapist
Primary
KY-1628
KY
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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