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NPI Code Detail

MEDICARE: BREAHNA PRECIOUS THORNSBERRY

MEDICARE:   BREAHNA PRECIOUS THORNSBERRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist289404KY

General Provider Information

NPI Number : 1619831211
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREAHNA PRECIOUS THORNSBERRY
Provider Business Mailing Address
First Line : 127 ORCHARD DR
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-2690
Country : US
Telephone Number : 859-887-4900
Fax Number :
Provider Business Practice Location Address
First Line : 127 ORCHARD DR
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-2690
Country : US
Telephone Number : 859-887-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ BREAHNA PRECIOUS THORNSBERRY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.