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Leslie Ann Short, LMT
Massage Therapist in Berea, Kentucky
NPI 1689374050

Leslie Ann Short is a Massage Therapist based in Berea, KY. Leslie Ann Short practices in Berea, KY and has the professional credentials of LMT. The NPI Number for Leslie Ann Short is 1689374050 and holds a License No. 165790 (Kentucky).

The current practice location address for Leslie Ann Short is 208 Pauline Dr Ste B, Berea, KY and can be reached out via phone at 859-358-7251.

Location: 208 Pauline Dr Ste B, Berea, KY, 40403-9117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689374050
Provider Name
Leslie Ann Short
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
208 Pauline Dr Ste B, Berea, KY, 40403-9117
Phone Number
859-358-7251
Fax Number
Provider Enumeration Date
03/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
208 Pauline Dr Ste B
City
Berea
State
Kentucky
Zip
40403-9117
Phone Number
859-358-7251
Fax Number
person
Provider Business Mailing Address Details
Address
208 Pauline Dr Ste B
City
Berea
State
Kentucky
Zip
40403-9117
Phone Number
859-358-7251
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
165790 (Kentucky)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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