Individual provider · Type 1 NPI
Clinton Allen Whittenberg, LMT
Massage Therapist · La Grange, KY
NPI number
1245565951
Active
Practice location
520 Jericho Rd.
La Grange, KY 40031-0101
Mailing address
PO Box 101
La Grange, KY 40031-0101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | KY0384 (KY) |
Massage Therapist: 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.
Other massage therapist providers in La Grange
About NPI 1245565951
Clinton Allen Whittenberg, LMT's National Provider Identifier is 1245565951, issued on Oct 14, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in La Grange, KY. The record was last updated on Oct 14, 2009.