Individual
ASHLEIGH RUNKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
426 TAYLOR ST, APT 1, PUNTA GORDA, FL 33950-4822
(941) 916-1647
Mailing address
426 TAYLOR ST, APT 1, PUNTA GORDA, FL 33950-4822
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59959
FL
Other
Enumeration date
01/14/2012
Last updated
03/02/2012
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