| NPI | 1942729041 |
|---|---|
| Doing Business As | LAVENDER MOON |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MEANS Owner/Member 502-320-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 163830) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |