Individual
KELLY SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4325 HIGHLAND PARK BLVD, LAKELAND, FL 33813-1671
(863) 669-7363
(863) 647-1793
Mailing address
2611 WHITEWOOD RD, MULBERRY, FL 33860-5508
(863) 669-7363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA52881
FL
Other
Enumeration date
07/04/2010
Last updated
07/04/2010
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