Ms Mida Lila-marie Kelleher, LMT | |
2208 Woodbury Rd, Melbourne, FL 32935-3059 | |
(321) 302-4860 | |
Not Available |
Full Name | Ms Mida Lila-marie Kelleher |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 2208 Woodbury Rd, Melbourne, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104944511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA47456 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Mida Lila-marie Kelleher, LMT 2208 Woodbury Rd, Melbourne, FL 32935-3059 Ph: (321) 302-4860 | Ms Mida Lila-marie Kelleher, LMT 2208 Woodbury Rd, Melbourne, FL 32935-3059 Ph: (321) 302-4860 |
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