Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | KY-1620 | KY |
NPI | 1972807782 |
---|---|
Provider Name | Tonya Sue Billiter-Lindsey |
First Address | Rumsey, KY 42371-9703 |
Second Address | Calhoun, KY 42327-9782 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2011 |
Last Update Date | 07/01/2011 |