Individual
KATIE ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6068 -1 LARIMER RD, MACCLENNY, FL 32063
(904) 881-7228
Mailing address
6068 -1 LARIMER RD, MACCLENNY, FL 32063
(904) 881-7228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29263
FL
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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