Individual
LORI DEE CREEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 TAVERNIER DR STE A, PONTE VEDRA BEACH, FL 32081-1268
(904) 662-3653
Mailing address
11385 EXCHANGE ST APT 1312, JACKSONVILLE, FL 32256-4151
(904) 662-3653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA-104951
FL
Other
Enumeration date
08/26/2024
Last updated
07/21/2025
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