Jennifer L Moulton, LMT
Massage Therapist in Louisville, KY. Individual provider (NPI-1).
NPI number1295048312
StatusActive
Last updated in NPPESJul 18, 2010
Details
- NPI
- 1295048312
- Entity type
- Individual (NPI-1)
- Name
- Jennifer L Moulton
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2010
- Last updated
- Jul 18, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | ky-0342 | KY | Yes |
Practice location
8215 Shelbyville RdLouisville, KY 40222-5421
Phone 502-802-7554
Mailing address
8236 Us Highway 60 EMorehead, KY 40351-8632
Phone 502-802-7554
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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