Individual
MRS. KRISTIN LEAH CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1450 E NORTH BLVD, SUITE 2, LEESBURG, FL 34748-5393
(352) 396-4877
Mailing address
108 EXETER AVE, LONGWOOD, FL 32750-3546
(352) 396-4877
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 63999
FL
Other
Enumeration date
05/09/2012
Last updated
01/13/2016
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