# KERRY KOTT LAC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pure Elements Healing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417343468
- **Authorized official:** KERRY KOTT LAC (ACUPUNCTURE PHYSICIAN)
- **Authorized official phone:** (989) 928-4859

## Contact information

- **Practice address:** 6105 MEMORIAL HWY STE J, TAMPA, FL 33615-4574
- **Practice address phone:** (813) 833-2299
- **Mailing address:** 6105 MEMORIAL HWY STE J, TAMPA, FL 33615-4574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP2983 | FL | Yes |

## Other

- **Enumeration date:** 04/07/2015
- **Last updated:** 04/07/2015