Organization Name: | CORBIN MASSAGE THERAPY |
NPI Number: | 1629314034 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA M. HARDY (OWNER/ OPERATOR) |
Mailing Address: | 1805 S Main St Ste 4 Corbin |
State: | KY US |
Postal Code: | 407012405 |
Phone Number: | 6062581995 |
Fax Number: | 6062581996 |
NPI Enumeration Date: | 12/13/2012 |
NPI Last Update Date: | 12/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | KY0427 |
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. |