Individual
KATHY TANNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2630 N.W. 41 STREET, SUITE B, GAINESVILLE, FL 32606
(352) 373-4236
Mailing address
2630 N.W. 41 STREET, SUITE B, GAINESVILLE, FL 32606
(352) 373-4236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 4836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-5345
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/14/2006
Last updated
07/08/2007
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