Individual
MS. JUDY GRAY BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
178 SW RANGE AVE, MADISON, FL 32340-2458
(185) 097-3899
Mailing address
8404 N STATE ROAD 53, MADISON, FL 32340-3536
(850) 673-8070
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA99225
FL
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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