Healing Tables LTD Co

Primary specialty

ContractorTaxonomy code 171W00000X

License

0420527 Issued in KY

Legal business name

HEALING TABLES LTD CO

Doing business as

Healing Therapy Associates

Practice address

405 Fairfield Ave
Bellevue, KY 41073

Phone

(859) 781-2328

NPI assigned

Jun 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jerry H Clemons, LMT

Title

Owner.Therapist

Phone

(859) 431-5777

Specialties & licenses 1

Addresses

Other names 1

• Healing Therapy Associates Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033314554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FAIRFIELD AVE",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731011",
            "telephone_number": "859-781-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FAIRFIELD AVE",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "41073",
            "telephone_number": "859-781-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TABLES LTD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER.THERAPIST",
        "authorized_official_telephone_number": "859-431-5777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "KY",
            "license": "0420527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Charles Hagedorn, DMD
• Bethany Hamilton-Clary, LISW-S
• William R Hammons, M.D.
• Harold T. Pretorius, M.D.
• Meredith Scott Haskell, LISW-S
• Jessica Ann Hemmer, PHARMD
• Whayne Herriford, LPCA
• Mary D Huhn, LISW
• Lindsey Ann Jackson, M.D.
• Mhamad Badraddin Jibrini, MD

• Contractor in Bellevue, KY
• Providers in Bellevue, KY by specialty
• Contractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.