Individual
MS. EILEEN C. FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FL STATE L.M.T.
Contact information
Practice address
600 CAISSON HILL RD, FORT RILEY, KS 66442-7037
(727) 992-4338
Mailing address
724 LARAMIE ST, MANHATTAN, KS 66502-6392
(727) 992-4338
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA#40221
LICENSED MASSAGE THERAPIS
FL
Enumeration date
07/18/2007
Last updated
07/22/2011
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