Individual
ELISSA KAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1130 PINEHURST RD, SUITE D, DUNEDIN, FL 34698-5408
(727) 743-3406
Mailing address
PO BOX 410, DUNEDIN, FL 34697-0410
(727) 743-3406
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017742
FL
Other
Enumeration date
02/06/2011
Last updated
02/06/2011
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