Individual
KELLI EADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMT
Contact information
Practice address
3541 EDGEWATER DR, ORLANDO, FL 32804-2942
(407) 423-0038
Mailing address
3541 EDGEWATER DR, ORLANDO, FL 32804-2942
(407) 423-0038
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA55970
FL
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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