Individual
DAISY CLANTON MILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LMBT
Contact information
Practice address
527 UMATILLA BLVD, UMATILLA, FL 32784-9091
(352) 669-8978
(352) 669-8978
Mailing address
PO BOX 411, PAISLEY, FL 32767-0411
(352) 669-8978
(352) 669-8978
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
239
NC
225700000X
Massage Therapist
Primary
MA25673
FL
Other
Enumeration date
08/07/2006
Last updated
03/31/2017
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