Individual
KATHY C SOUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15100 HUTCHISON RD, STE. 115, TAMPA, FL 33625-5511
(813) 962-7001
(813) 962-7004
Mailing address
15100 HUTCHISON RD, STE. 115, TAMPA, FL 33625-5511
(813) 962-7001
(813) 962-7004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA40774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02
COMMERCIAL CARRIERS
—
Enumeration date
12/05/2007
Last updated
01/14/2008
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