Individual
KETLY C THELUSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
2431 SW WEBSTER LN, PORT ST LUCIE, FL 34953-5753
(772) 240-4280
Mailing address
2431 SW WEBSTER LN, PORT ST LUCIE, FL 34953-5753
(772) 240-4280
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
10007
FL
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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