Organization
MEDICAL MASSAGE & THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIET NEELY SIDES LMT (OWNER)
(727) 869-3803
Entity
Organization
Contact information
Practice address
13911 LAKESHORE BLVD UNIT 102, HUDSON, FL 34667-7102
(727) 869-3803
(727) 869-9126
Mailing address
13911 LAKESHORE BLVD UNIT 102, HUDSON, FL 34667-7102
(727) 869-3803
(727) 869-9126
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM 17024
FL
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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