NPI 1003034646

Patricia Kukuselis, LMT

Practitioner Specialist Clarksville, IN

Practice location

Address: 1506 Idlewood Dr, Clarksville, IN 47129-1332
Phone: (812) 945-2369

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence KY-0140 (KY)

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Registry record

NPI: 1003034646
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.