NPI 1467693812

Carol G Kirtley, LMT

Practitioner Massage Therapist Campbellsville, KY

Practice location

Address: 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615
Phone: (270) 465-3561
Mailing address: 718 Lebanon Ave, Campbellsville, KY 42718-1808

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence KY-2065 (KY)

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Registry record

NPI: 1467693812
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2009
Record last updated: 16 Mar 2009

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.