Individual
LAURA JANE KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
7215 NE 57TH ST, GAINESVILLE, FL 32609-1597
(352) 372-0618
(352) 372-0618
Mailing address
7215 NE 57TH ST, GAINESVILLE, FL 32609-1597
(352) 372-0618
(352) 372-0618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA23603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677741400
—
FL
05
—
686697279
—
FL
05
—
686697296
—
FL
Enumeration date
12/29/2005
Last updated
05/25/2008
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