| Mr William Jernigan Iii, LMT | |
|
1860 Mellwood Ave Ste 179, Louisville, KY 40206-1033 | |
| (502) 365-2022 | |
| Not Available |
| Full Name | Mr William Jernigan Iii |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1860 Mellwood Ave Ste 179, Louisville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265046247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 260894 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Jernigan Iii, LMT 8110 Terry Rd, Louisville, KY 40258-1732 Ph: (502) 314-9276 | Mr William Jernigan Iii, LMT 1860 Mellwood Ave Ste 179, Louisville, KY 40206-1033 Ph: (502) 365-2022 |
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