Individual
MISS JODY MARIE PIPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20891 SE 155TH ST, UMATILLA, FL 32784-8280
(231) 349-0003
Mailing address
20891 SE 155TH ST, UMATILLA, FL 32784-8280
(231) 349-0003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA-50079
FL
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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