Susan June Lassiter, L.M.T.
Mechanotherapist in Paducah, KY. Individual provider (NPI-1).
NPI number1508097635
StatusActive
Last updated in NPPESAug 6, 2009
Details
- NPI
- 1508097635
- Entity type
- Individual (NPI-1)
- Name
- Susan June Lassiter
- Credential
- L.M.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2009
- Last updated
- Aug 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | KY-2185 | KY | Yes |
Practice location
2850 Adams StSuite 1
Paducah, KY 42001
Phone 270-442-7377
Mailing address
2850 Adams StSuite 1
Paducah, KY 42001
Phone 270-928-4351
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