Individual
MRS. LILY M GOODSELL TONG WHITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, SET
Contact information
Practice address
7010 SHELDON RD, SUITE #700, TAMPA, FL 33615-2324
(813) 817-9299
Mailing address
7010 SHELDON RD, SUITE #700, TAMPA, FL 33615-2324
(813) 817-9299
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
MA61380
FL
225700000X
Massage Therapist
Primary
MA61380
—
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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