NPI 1336466762

Michael Patrick Mansfield, LMT

Practitioner Massage Therapist Richmond, KY

Practice location

Address: 1100 E Main St, Richmond, KY 40475-2028
Phone: (859) 200-3152
Mailing address: 106 Mallory CT APT 3, Richmond, KY 40475-8153

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1920 (KY)

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Registry record

NPI: 1336466762
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2010
Record last updated: 25 Apr 2010

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.