CLINTON ALLEN WHITTENBERG

LA GRANGE, KY
NPI1245565951
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: KY  Ky0384)
Enumeration Date2009-10-14
Last Update Date2009-10-14
Business Address
Mr. CLINTON ALLEN WHITTENBERG LMT
520 JERICHO RD.
LA GRANGE, KY 40031-0101
Phone number: 502-222-7623
Mailing Address
Mr. CLINTON ALLEN WHITTENBERG LMT
PO BOX 101
LA GRANGE, KY 40031-0101
Phone number: 502-222-7623
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