Individual
KRISTEN DYANE LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
305 NW 28TH ST, GAINESVILLE, FL 32607-2565
(352) 995-9591
Mailing address
305 NW 28TH ST, GAINESVILLE, FL 32607-2565
(352) 995-9591
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA87319
FL
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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