Individual
DENISE MARIE SELPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
201 2ND AVE SE, JASPER, FL 32052-6111
(386) 792-1140
Mailing address
201 2ND AVE SE, JASPER, FL 32052-6111
(386) 792-1140
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA103045
FL
Other
Enumeration date
06/25/2010
Last updated
04/22/2024
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