Individual provider · Type 1 NPI

Teresa Ruth Ellison, LMT

Massage Therapist · Williamsburg, KY

NPI number 1659681476 Active

Practice location

412 Sycamore St
Williamsburg, KY 40769-1137

Fax (606) 549-4814

Mailing address

PO Box 483
Williamsburg, KY 40769-0483

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XKY2650 (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 1659681476

Teresa Ruth Ellison, LMT's National Provider Identifier is 1659681476, issued on Oct 14, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Williamsburg, KY. The record was last updated on Oct 14, 2010.