Organization
THERAPEUTIC MASSAGE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PAUL WIRTH L.M.T. (MEMBER)
(859) 734-4325
Entity
Organization
Contact information
Practice address
125 HOPEWELL RD, HARRODSBURG, KY 40330-9113
(859) 734-4325
Mailing address
PO BOX 121, HARRODSBURG, KY 40330-0121
(859) 734-4325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-1246
KY
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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