Bluegrass Massage Theraputics
Clinic/Center, Physical Therapy in Brandenburg, KY. Organization (NPI-2).
NPI number1427240704
StatusActive
Last updated in NPPESAug 10, 2007
Details
- NPI
- 1427240704
- Entity type
- Organization (NPI-2)
- Legal business name
- Bluegrass Massage Theraputics
- Organization subpart
- No
- Enumeration date
- Aug 10, 2007
- Last updated
- Aug 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | KY2052 | KY | Yes |
Practice location
365 East Broadway Suite 2Brandenburg, KY 40108
Phone 270-422-3694
Mailing address
365 East Broadway Suite 2Brandenburg, KY 40108
Phone 270-422-3694
Authorized official
Nicole Leigh Poff
Massage Therapist
2704223694
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