Individual
KELLY MAZZARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10443 SPRING LAKE DR, CLERMONT, FL 34711-7929
(407) 633-1565
Mailing address
10443 SPRING LAKE DR, CLERMONT, FL 34711-7929
(407) 633-1565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA74384
FL
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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