Individual
KATANYA TAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1772 N HONORE AVE, SARASOTA, FL 34235-9112
(941) 388-7633
Mailing address
1772 N HONORE AVE, SARASOTA, FL 34235-9112
(941) 388-7633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA59466
FL
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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