Individual
MRS. KATHRYN LIANNE CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
791 NE 5TH ST, CRYSTAL RIVER, FL 34429-4325
(352) 364-4133
Mailing address
5252 S ATWOOD TER, INVERNESS, FL 34452-8108
(813) 760-0925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA62884
FL
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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