Individual
KRISTEN HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 NORTH FLETCHER AVENUE, MAYO, FL 32066
(386) 208-2089
Mailing address
PO BOX 853, MAYO, FL 32066-0853
(386) 208-2089
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA65228
FL
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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