Individual
MS. BETHANY THERESA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1002 NW 23RD AVE, GAINESVILLE, FL 32609-5403
(352) 494-5552
(352) 505-3631
Mailing address
7690 CLOVER LN, KEYSTONE HEIGHTS, FL 32656-9536
(352) 246-1008
(352) 505-3631
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA83311
FL
Other
Enumeration date
01/28/2017
Last updated
01/28/2017
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