Provider Demographics
NPI:1669214953
Name:MORGAN JUDD, BRITTANY LASHAE (LMT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LASHAE
Last Name:MORGAN JUDD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 GRAB RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:42743-9447
Mailing Address - Country:US
Mailing Address - Phone:270-405-6826
Mailing Address - Fax:
Practice Address - Street 1:195 HIGHWAY 88
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:KY
Practice Address - Zip Code:42743-9423
Practice Address - Country:US
Practice Address - Phone:270-405-6826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY291974225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist