Kelly Stewart
Massage Therapist in Sarasota, FL. Individual provider (NPI-1).
NPI number1043631997
StatusActive
Last updated in NPPESDec 19, 2013
Details
- NPI
- 1043631997
- Entity type
- Individual (NPI-1)
- Name
- Kelly Stewart
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2013
- Last updated
- Dec 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA74485 | FL | Yes |
Practice location
5885 Whitfield AveSarasota, FL 34243-3125
Phone 707-328-5707
Mailing address
981 Indian Beach DrSarasota, FL 34234-7304
Phone 707-328-5707
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