Healing Tables LTD Co
Organization Active NPI Contractor · Bellevue, KY
NPI 1033314554 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1033314554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Contractor 171W00000X
- License
- 0420527 (KY)
- Legal business name
- HEALING TABLES LTD CO
- Practice address
- 405 Fairfield Ave
Bellevue, KY 41073 - Phone
- (859) 781-2328
- NPI assigned
- Jun 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry H Clemons, LMT
- Title
- Owner.Therapist
- Phone
- (859) 431-5777
National Provider Directory
Locations
405 Fairfield Ave
Bellevue, KY 41073
Phone (859) 781-2328
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor |
171W00000X | 0420527 | KY | Yes |
Addresses
Primary practice location
405 Fairfield Ave
Bellevue, KY 41073
Mailing address
405 Fairfield Ave
Bellevue, KY 41073-1011
Phone (859) 781-2328
Other names
- Healing Therapy Associates
Other providers in Bellevue, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.