Individual
LANDRA SUE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2929 NW 13TH ST, GAINESVILLE, FL 32609-2831
(352) 375-0295
Mailing address
5700 SE 39TH ST, TRENTON, FL 32693-6644
(352) 472-2222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61961
FL
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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