NPI 1053082248

Kenneth Eugene Grubb, LMT

Practitioner Massage Therapist Mt Sterling, KY

Practice location

Address: 107 Brandon Way, Mt Sterling, KY 40353-8500
Phone: (859) 499-1009
Fax: (859) 499-1016

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 267952 (KY)

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Registry record

NPI: 1053082248
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2021
Record last updated: 27 Sep 2021

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.