Jade Conrad

NPI #1265804983 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1265804983
Entity Type: Individual
Name: Jade Conrad
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Oct 21, 2015
Last Updated: Oct 21, 2015

Practice Location

Address: 100 TALLYHO WAY
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-7829
Phone: (270) 748-1824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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