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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