Individual
COURTNEY ELIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA42392
Contact information
Practice address
1790 A1A HWY STE 206, SATELLITE BEACH, FL 32937-5440
(863) 398-2470
Mailing address
169 E ARLINGTON ST, SATELLITE BEACH, FL 32937-2246
(863) 398-2470
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
42392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42392
MASSAGE THERAPIST
FL
Enumeration date
03/31/2020
Last updated
03/31/2020
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