Individual
MRS. ELIZABETH CAROLE KILLEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2114 C4 NW 40TH TERRACE, GAINESVILLE, FL 32605
(352) 339-5125
Mailing address
2114 C4 NW 40TH TERRACE, GAINESVILLE, FL 32605
(352) 339-5125
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA37118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1984
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/17/2007
Last updated
07/08/2007
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