Individual
KELLY RENEE BURGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
658 GREEN VALLEY RD APT B8, PALM HARBOR, FL 34683-5187
(727) 564-0757
Mailing address
658 GREEN VALLEY RD APT B8, PALM HARBOR, FL 34683-5187
(727) 564-0757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA27811
FL
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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