Individual
MRS. ESTHER LEIGH WITHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8395 HWY 19, PALATKA, FL 32177
(386) 312-8309
(386) 312-6261
Mailing address
8395 S HWY 19, PALATKA, FL 32177
(386) 312-8309
(386) 312-6261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA41062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2777
BC BS
FL
Enumeration date
10/18/2006
Last updated
07/08/2007
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