Individual
MS. PANTHEA MACKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14520 MAIN ST, ALACHUA, FL 32615-8592
(386) 462-4994
Mailing address
PO BOX 2311, ALACHUA, FL 32616-2311
(386) 462-4994
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA 48525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4142
BLU CROSS BLUE SHIELD
FL
Enumeration date
12/07/2008
Last updated
12/07/2008
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