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General NPI Number Information
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NPI Number | 1063309524
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Entity Type | Organization
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Legal Business Name | WAX & RELAX
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 234 E MAIN ST
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City | RICHMOND
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State | KY
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Zip | 40475-1628
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Country | US
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Telephone | 810-955-2086
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 217
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City | RICHMOND
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State | KY
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Zip | 40476-0217
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST
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Name | KIMBERLY ROBINS
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Credential | L.M.T
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Telephone | 810-955-2086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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