Individual
JULIE THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 MONTICELLO ST STE 2, SOMERSET, KY 42501-2974
(606) 401-2966
Mailing address
378 COMBS LN, SOMERSET, KY 42503-4313
(606) 341-6708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
166705
KY
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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