Individual
JAMES LEE NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1903 SE HILLMOOR DR APT 13, PORT SAINT LUCIE, FL 34952-7718
(772) 204-5491
Mailing address
1903 SE HILLMOOR DR APT 13, PORT SAINT LUCIE, FL 34952-7718
(772) 204-5491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA84643
FL
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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