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General NPI Number Information
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NPI Number | 1477460426
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Entity Type | Organization
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Legal Business Name | 502 THAI WELLNESS, LLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 11760 SHELBYVILLE RD STE 103
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City | LOUISVILLE
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State | KY
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Zip | 40243-1497
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Country | US
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Telephone | 502-535-1603
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Fax |
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Provider Business Mailing Address
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Address Line | 10716 SUNDERLAND PL
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City | LOUISVILLE
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State | KY
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Zip | 40243-1651
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Country | US
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Telephone | 270-556-9899
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED MASSAGE THREAPIST
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Name | BARINDA PIERCE
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Credential | LMT
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Telephone | 270-556-9899
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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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