Individual
KELSY THANASIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3821 WOODBRIAR TRL STE 3, PORT ORANGE, FL 32129-9611
(386) 265-1579
(386) 310-8075
Mailing address
820 W 7TH ST, NEW SMYRNA BEACH, FL 32168-7504
(386) 690-1750
(386) 310-8075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA102182
FL
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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