Individual
CECELIA BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3150 SOUTHGATE CIR, SARASOTA, FL 34239-5515
(612) 300-5866
Mailing address
PO BOX 15125, SARASOTA, FL 34277-1125
(612) 300-5866
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
64349
FL
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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