Individual
MR. DMITRIY S GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1157 E BROADWAY, SUITE #2, LOUISVILLE, KY 40204-1752
(502) 333-3199
Mailing address
1157 E BROADWAY, SUITE #2, LOUISVILLE, KY 40204-1752
(502) 333-3199
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-0850
KY
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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