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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | KY0195 (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.
3 other providers at this address
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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.