Individual
MISS BETHANY LYNN KLOSTER
Active
Individual
MISS BETHANY LYNN KLOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, LMT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL 3131
FL
225700000X
Massage Therapist
Primary
MA 64511
FL
Other
Enumeration date
09/22/2012
Last updated
09/22/2012
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