Individual
JAN ELANA KLINGENSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6533 SUPERIOR AVE, SARASOTA, FL 34231-5835
(941) 301-7720
Mailing address
2757 MALL DR APT 308, SARASOTA, FL 34231-5952
(941) 301-7720
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82400
FL
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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