| Miracle Massage And Therapy Center Corp | |
|
3715 Bardstown Rd Suite 217 Louisville KY 40218-2244 | |
| (502) 762-5645 | |
| (502) 454-7784 |
| Full Name | Miracle Massage And Therapy Center Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 3715 Bardstown Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Ariel Borrego (PRESIDENT) |
| Authorized Official Contact | 5027625645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Massage And Therapy Center Corp 3715 Bardstown Rd Suite 217 Louisville KY 40218-2244 Ph: (502) 762-5645 | Miracle Massage And Therapy Center Corp 3715 Bardstown Rd Suite 217 Louisville KY 40218-2244 Ph: (502) 762-5645 |
| NPI Number | 1780093617 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 08/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780093617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Kentucky) | Primary |
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