Individual provider · Type 1 NPI

Michael D. Grise, LMT, EST

Massage Therapist · Hopkinsville, KY

NPI number 1780852889 Active

Practice location

1202 Skyline Dr
Hopkinsville, KY 42240-4937

Mailing address

4044 Fort Campbell Blvd, Pmb 124
Hopkinsville, KY 42240-4950

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XKY0195 (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 1780852889

Michael D. Grise, LMT, EST's National Provider Identifier is 1780852889, issued on Feb 12, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hopkinsville, KY. The record was last updated on Feb 12, 2008.