Krischell Scarleth Brand, MA73471
Massage Therapist in Winter Haven, FL. Individual provider (NPI-1).
NPI number1295377828
StatusActive
Last updated in NPPESOct 15, 2019
Details
- NPI
- 1295377828
- Entity type
- Individual (NPI-1)
- Name
- Krischell Scarleth Brand
- Credential
- MA73471
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2019
- Last updated
- Oct 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA73471 | FL | Yes |
Practice location
2791 Lake Alfred RdWinter Haven, FL 33881-1432
Phone 863-291-4590
Mailing address
414 8th St SDundee, FL 33838-4336
Phone 863-668-1397
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