Organization
JKC THERAPY HOME SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNY B. VELAZQUEZ L.M.T (PRESIDENT/OWNER)
(305) 883-0801
Entity
Organization
Contact information
Practice address
190 E 16TH ST, HIALEAH, FL 33010-3128
(305) 883-0801
Mailing address
190 E 16TH ST, HIALEAH, FL 33010-3128
(305) 883-0801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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