Individual provider · Type 1 NPI
Jennifer L. Moulton, LMT
Massage Therapist · Louisville, KY
NPI number
1295048312
Active
Practice location
8215 Shelbyville Rd
Louisville, KY 40222-5421
Mailing address
8236 US Highway 60 E
Morehead, KY 40351-8632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | KY-0342 (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 1295048312
Jennifer L. Moulton, LMT's National Provider Identifier is 1295048312, issued on Jul 18, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Louisville, KY. The record was last updated on Jul 18, 2010.