NPI 1114587862

Jetta Kaune, LMT

Practitioner Massage Therapist Radcliff, KY

Practice location

Address: 647 Knox Blvd, Radcliff, KY 40160-1514
Phone: (270) 351-5055
Mailing address: 1420a 4th Ave, Fort Knox, KY 40121-2294

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 239911 (KY)

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Registry record

NPI: 1114587862
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2019
Record last updated: 15 Jun 2019

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.