Individual
KLEIDY L BOTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
415 MOUNTAIN DR, DESTIN, FL 32541-7327
(951) 505-7600
Mailing address
91 1398 HALILI ST, EWA BEACH, HI 96706
(515) 057-6009
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
17360
HI
225700000X
Massage Therapist
Primary
84888
CA
225700000X
Massage Therapist
MA106195
FL
Other
Enumeration date
07/20/2023
Last updated
01/27/2026
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