Provider Demographics
NPI:1629201835
Name:TUBBS, LEXI DAWN (LMT)
Entity type:Individual
Prefix:
First Name:LEXI
Middle Name:DAWN
Last Name:TUBBS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:LEXI
Other - Middle Name:SHARON
Other - Last Name:ROSALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1237 ARLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-2200
Mailing Address - Country:US
Mailing Address - Phone:859-707-0326
Mailing Address - Fax:
Practice Address - Street 1:416 MILLERSBURG RD
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-2145
Practice Address - Country:US
Practice Address - Phone:859-987-6058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY374U00000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No374U00000XNursing Service Related ProvidersHome Health Aide