Individual
ANNE M DEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
522 BEWLEY BLVD, ELIZABETHTOWN, KY 42701-7104
(859) 948-2857
Mailing address
522 BEWLEY BLVD, ELIZABETHTOWN, KY 42701-7104
(859) 948-2857
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-1545
KY
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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