Individual
KATY SEVERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13325 NE 41ST TER, ANTHONY, FL 32617-2419
(352) 362-4331
Mailing address
13325 NE 41ST TER, ANTHONY, FL 32617-2419
(352) 362-4331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA80330
FL
Other
Enumeration date
01/27/2016
Last updated
09/13/2022
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