Individual
MS. LAURA K TEHENNEPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., L.M.T.
Contact information
Practice address
810 NE 4TH AVE, GAINESVILLE, FL 32601-5552
(267) 975-6586
Mailing address
810 NE 4TH AVE, GAINESVILLE, FL 32601-5552
(267) 975-6586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52081
FL
225700000X
Massage Therapist
MT711
ME
Other
Enumeration date
04/22/2009
Last updated
04/08/2014
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