Individual provider · Type 1 NPI

Kimberly Renee Ellis, MT

Massage Therapist · Bowling Green, KY

NPI number 1841368313 Active

Practice location

1110 Wilkinson Trce
Bowling Green, KY 42103-3402

Call (270) 796-6850 Map

Fax (270) 781-8228

Mailing address

PO Box 641268
Cincinnati, OH 45264-0304

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0062 (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 1841368313

Kimberly Renee Ellis, MT's National Provider Identifier is 1841368313, issued on Dec 1, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bowling Green, KY. The record was last updated on Jul 8, 2007.