Individual
JULIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
334 OLD CUT RD E, MUNFORDVILLE, KY 42765-8190
(270) 537-1518
Mailing address
334 OLD CUT RD E, MUNFORDVILLE, KY 42765-8190
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
292708
KY
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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