Individual
MR. PETER CHRISTIAN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
124 KENTUCKY AVE STE 12, LEXINGTON, KY 40502-1755
(270) 250-5370
Mailing address
124 KENTUCKY AVE STE 12, LEXINGTON, KY 40502-1755
(270) 250-5370
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
239620
KY
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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