Individual
KENNETH YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
607 S ALEXANDER ST, PLANT CITY, FL 33563-5053
(813) 298-7820
Mailing address
607 S ALEXANDER ST, PLANT CITY, FL 33563-5053
(813) 298-7820
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 51840
FL
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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