Individual
MRS. KELLEY ANN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2325 CENTRAL AVE, ST PETERSBURG, FL 33713-8845
(727) 251-4743
Mailing address
3626 15TH AVE N, ST PETERSBURG, FL 33713-5324
(727) 251-4743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA37335
FL
Other
Enumeration date
03/05/2011
Last updated
03/05/2011
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