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Organization
KNEADED THERAPY, INC
Active
Organization
KNEADED THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN TRUJILLO LMT (OWNER/LMT)
(954) 772-2977
Entity
Organization
Contact information
Practice address
2746 E COMMERICAL BLVD., FT. LAUDERDALE, FL 33308
(954) 772-2977
(954) 772-2928
Mailing address
2746 E COMMERICAL BLVD., FT. LAUDERDALE, FL 33308
(954) 772-2977
(954) 772-2928
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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