Individual
JODY A PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNA
Contact information
Practice address
1901 TAMIAMI TRL S STE B, VENICE, FL 34293-5002
(941) 525-4878
Mailing address
1901 TAMIAMI TRL S STE B, VENICE, FL 34293-5002
(941) 525-4878
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56081
FL
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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