Individual
AMBER NICOLE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
111 POPLAR ST STE 103B, MURRAY, KY 42071-2586
(270) 227-6376
Mailing address
111 POPLAR STREET BOX A4, 103B, MURRAY, KY 42071
(270) 227-6376
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
274244
KY
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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