Individual
KIM SUZANNE REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
106 LIVE OAK ST STE B, VENICE, FL 34285-4701
(941) 600-1591
Mailing address
106 LIVE OAK ST STE B, VENICE, FL 34285-4701
(941) 600-1591
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA68069
FL
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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