Doctor Name: | KATHIE J PHILLIPS |
NPI Number: | 1356744007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT; CNMT |
License Number: | 33.006597NR |
Business Practice Address: | 918 West Franklin St Kenton, OH - 43326 |
Business Phone Number: | 4196752639 |
Business Fax Number: | 4196753492 |
Mailing Address: | 918 West Franklin Street, KENTON |
State: | OH |
Postal Code: | 43326 |
Phone Number: | 4196752639 |
Fax Number: | 4196753492 |
NPI Enumeration Date: | 10/08/2014 |
NPI Last Update Date: | 10/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33.006597NR |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |