Individual
KATHRYN GISSY WURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2285 BLOSSOMWOOD DR, OVIEDO, FL 32765
(407) 717-5522
Mailing address
2285 BLOSSOMWOOD DR, OVIEDO, FL 32765-6455
(407) 717-5522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 41171
FL
Other
Enumeration date
11/09/2007
Last updated
10/05/2018
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