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Organization
SHARON KELLY LMT, INC.
Active
Organization
SHARON KELLY LMT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ANN KELLY LMT (MASSAGE THERAPIST)
(727) 301-5724
Entity
Organization
Contact information
Practice address
801 W BAY DR STE 500, LARGO, FL 33770-3220
(727) 301-5724
Mailing address
801 W BAY DR STE 500, LARGO, FL 33770-3220
(727) 301-5724
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
471312075
OPTUM HEALTH
—
Enumeration date
09/24/2018
Last updated
09/24/2018
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