Doctor Name: | JENNIFER DAVIES |
NPI Number: | 1841600277 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T |
License Number: | KY-5069 |
Business Practice Address: | 8761 Us Highway 42 Suite B Union, KY - 410919315 |
Business Phone Number: | 8596477780 |
Business Fax Number: | 8596477716 |
Mailing Address: | 4347 Beechgrove Dr, INDEPENDENCE |
State: | KY |
Postal Code: | 410519121 |
Phone Number: | 8594626343 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2014 |
NPI Last Update Date: | 05/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | KY-5069 |
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. |