Organization
POSITIVE WAVE L.L.C
Active
Organization
POSITIVE WAVE L.L.C
Active
Other names
Positive Waves L.L.C
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JADE CONRAD L.M.T. (OWNER)
(270) 748-1824
Entity
Organization
Contact information
Practice address
955 N WILSON RD, B, RADCLIFF, KY 40160
(270) 748-1824
Mailing address
955 N WILSON RD, B, RADCLIFF, KY 40160
(270) 748-1824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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