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Ms. Mida Lila-marie Kelleher, LMT
Massage Therapist in Melbourne, Florida
NPI 1104944511

Mida Lila-marie Kelleher is a Massage Therapist based in Melbourne, FL. Mida Lila-marie Kelleher practices in Melbourne, FL and has the professional credentials of LMT. The NPI Number for Mida Lila-marie Kelleher is 1104944511 and holds a License No. MA47456 (Florida).

The current practice location address for Mida Lila-marie Kelleher is 2208 Woodbury Rd, Melbourne, FL and can be reached out via phone at 321-302-4860. You can also correspond with Mida Lila-marie Kelleher through the mailing address at 2208 WOODBURY RD, MELBOURNE, FL - 32935-3059 (mailing address contact number: 321-302-4860).

Location: 2208 Woodbury Rd, Melbourne, FL, 32935-3059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104944511
Provider Name
Mida Lila-marie Kelleher
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2208 Woodbury Rd, Melbourne, FL, 32935-3059
Phone Number
321-302-4860
Fax Number
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2208 Woodbury Rd
City
Melbourne
State
Florida
Zip
32935-3059
Phone Number
321-302-4860
Fax Number
person
Provider Business Mailing Address Details
Address
2208 Woodbury Rd
City
Melbourne
State
Florida
Zip
32935-3059
Phone Number
321-302-4860
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA47456 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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