| NPI | 1629233911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA KAY THOMAS Certified Medical Massage Therapist 270-444-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: KY KY1522) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |