Individual
MS. CODY YELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NE 1ST ST, GAINESVILLE, FL 32601-5311
(352) 443-4217
Mailing address
1421 NE 20TH AVE, GAINESVILLE, FL 32609-3868
(352) 443-4217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 62170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 62170
FL DEPT OF HEALTH
FL
Enumeration date
04/04/2011
Last updated
09/20/2016
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