Individual
MISS K ROSE IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT (FL)
Contact information
Practice address
252 SAXONY CT, WINTER SPRINGS, FL 32708
(407) 695-1100
Mailing address
252 SAXONY CT, WINTER SPRINGS, FL 32708
(407) 765-0161
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
FL
225700000X
Massage Therapist
Primary
MA66807
FL
225700000X
Massage Therapist
—
FL
246RP1900X
Phlebotomy Technician
—
FL
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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