NPI 1780852889

Michael D Grise, LMTEST

Practitioner Massage Therapist Hopkinsville, KY

Practice location

Address: 1202 Skyline Dr, Hopkinsville, KY 42240-4937
Phone: (270) 881-1005
Mailing address: 4044 Fort Campbell Blvd Pmb 124, Hopkinsville, KY 42240-4950

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence KY0195 (KY)

Other Massage Therapist providers in Kentucky →

Registry record

NPI: 1780852889
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Feb 2008
Record last updated: 12 Feb 2008

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.