Healthcare Provider Details

I. General information

NPI: 1154676682
Provider Name (Legal Business Name): CHRISTY HEHR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2012
Last Update Date: 07/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 LYNN RD
LEXINGTON KY
40504-3611
US

IV. Provider business mailing address

741 LYNN RD
LEXINGTON KY
40504-3611
US

V. Phone/Fax

Practice location:
  • Phone: 859-339-2973
  • Fax: 859-278-4105
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberKY-0864
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: