Positive Wave L.l.c

NPI #1861860751 in Radcliff, Kentucky

Provider Information

NPI Number: 1861860751
Entity Type: Organization
Organization Name: Positive Wave L.l.c
Primary Specialty: Massage Therapist
Enumeration Date: Sep 9, 2015
Last Updated: Sep 9, 2015

Practice Location

Address: 955 N WILSON RD
Address 2: B
City: Radcliff
State: Kentucky
ZIP Code: 40160
Phone: (270) 748-1824

Authorized Official

Name: MRS. JADE CONRAD, L.M.T.
Title: OWNER
Phone: (270) 748-1824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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