Mary Agneessens, THM,PHDC
Individual provider Active NPI Reflexologist · Lexington, KY
NPI 1265705172 · NPPES record last updated Feb 23, 2012
Key facts
- NPI
- 1265705172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Reflexologist 173C00000X
- Practice address
- 401 West Main St
Suite 301
Lexington, KY 40507-1646 - Phone
- (602) 799-6279
- NPI assigned
- Feb 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | Yes |
Addresses
Primary practice location
401 West Main St
Suite 301
Lexington, KY 40507-1646
Mailing address
3580 Cummins Ferry Rd
Versailles, KY 40383-9614
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2012. 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.