Individual
IVY OLIVIA REITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5021 NW 34TH BLVD STE C, GAINESVILLE, FL 32605-1191
(353) 363-1205
Mailing address
5314 NW 34TH PL, GAINESVILLE, FL 32606-6915
(352) 363-1205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92518
FL
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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