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1053882753
KIMBERLY DAWN TACKETT
LEXINGTON, KY
NPI
1053882753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: KY 107466)
Enumeration Date
2018-12-07
Last Update Date
2023-03-28
Business Address
KIMBERLY DAWN TACKETT LMT
800 ROSE ST WHITNEY HENDRICKSON BLDG RM 306
LEXINGTON, KY 40536-1129
Phone number: 859-323-4325
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Mailing Address
KIMBERLY DAWN TACKETT LMT
PO BOX 3939
MIDWAY, KY 40347-3939
Phone number: 859-221-9532
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