Doctor Name: | MR. RONALD EUGENE HAGER |
NPI Number: | 1366710428 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | 3725 |
Business Practice Address: | 7410 New Lagrange Road Suite 201 Louisville, KY - 40222 |
Business Phone Number: | 5024295765 |
Business Fax Number: | |
Mailing Address: | 7410 New Lagrange Road, Suite 201 LOUISVILLE |
State: | KY |
Postal Code: | 40222 |
Phone Number: | 5024295765 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2011 |
NPI Last Update Date: | 12/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 3725 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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. |