Individual
MR. KEVIN M. WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CINT
Contact information
Practice address
13830 58TH ST N, STE. 404, CLEARWATER, FL 33760-3720
(727) 347-4325
(727) 538-5787
Mailing address
13830 58TH ST N, STE. 404, CLEARWATER, FL 33760-3720
(727) 347-4325
(727) 538-5787
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA54985
FL
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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