Individual
MS. KATHY L CHIDSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5300 BOSQUE LN, #34, WEST PALM BEACH, FL 33415-2630
(561) 688-5776
Mailing address
5300 BOSQUE LN, #34, WEST PALM BEACH, FL 33415-2630
(561) 688-5776
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA26447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA26447
LISCENSED MASSAGE THERAPI
FL
Enumeration date
02/15/2007
Last updated
07/08/2007
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