Individual
JEAN ELLEN SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
7147 CURTISS AVE, SARASOTA, FL 34231-8012
(941) 921-5809
(941) 921-5249
Mailing address
7147 CURTISS AVE, SARASOTA, FL 34231-8012
(941) 921-5809
(941) 921-5249
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA4746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA4746
STATE LICENSE NUMBER
FL
Enumeration date
11/30/2007
Last updated
11/30/2007
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