Individual provider · Type 1 NPI

William Jernigan Iii, LMT

Massage Therapist · Louisville, KY

NPI number 1265046247 Active

Practice location

1860 Mellwood Ave Ste 179
Louisville, KY 40206-1033

Call (502) 365-2022 Map

Mailing address

8110 Terry Rd
Louisville, KY 40258-1732

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X260894 (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.

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About NPI 1265046247

William Jernigan Iii, LMT's National Provider Identifier is 1265046247, issued on Sep 7, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Louisville, KY. The record was last updated on Sep 7, 2020.