Individual
KELLY DOWNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4776 HODGES BLVD, STE 101, JACKSONVILLE, FL 32224-7217
(904) 223-2363
Mailing address
4776 HODGES BLVD, STE 101, JACKSONVILLE, FL 32224-7217
(904) 223-2363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA53067
FL
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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