NPI 1265804983

Jade Conrad

Practitioner Massage Therapist Elizabethtown, KY

Practice location

Address: 100 Tallyho Way, Elizabethtown, KY 42701-7829
Phone: (270) 748-1824

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence BMTMTH00214650 (KY)

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Registry record

NPI: 1265804983
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2015
Record last updated: 21 Oct 2015

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.