MS. Allicia Ill, LMT
NPI #1154692101 in Munfordville, Kentucky
Provider Information
- NPI Number
- 1154692101
- Entity Type
- Individual
- Name
- MS. Allicia Ill, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Jan 23, 2012
- Last Updated
- Jan 23, 2012
Practice Location
- Address
- 1132B MAIN ST
- City
- Munfordville
- State
- Kentucky
- ZIP Code
- 42765-9432
- Phone
- (270) 524-5240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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