Phillip Daugherty, LMT
Individual provider Active NPI Massage Therapist · Lexington, KY
NPI 1487468898 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1487468898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 163948 (KY)
- Practice address
- 2121 Richmond Road
Suite 200
Lexington, KY 40502 - Phone
- (859) 396-7753
- NPI assigned
- Feb 5, 2025
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163948 | KY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 163948 | KY | Yes |
Addresses
Primary practice location
2121 Richmond Road
Suite 200
Lexington, KY 40502
Mailing address
2121 Richmond Road
Suite 200
Lexington, KY 40502
Phone (859) 396-7753
Other providers in Lexington, KY
- Christina Daugherty
- Jade Daugherty
- Kathleen S Daugherty
- Mary Courtenay Daugherty
- Michael Edward Daugherty
- William Daugherty
- Davanand Doodnauth,M.D., PSC
- Kinjal Dave
- Robert Alan Davenport
- Ryan Tierra Davenport
All providers in Lexington, KY · Massage Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. 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.