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Dorothy J Kellum, LMT
Massage Therapist in Nokomis, Florida
NPI 1730354606

Dorothy J Kellum is a Massage Therapist based in Venice, FL. Dorothy J Kellum practices in Nokomis, FL and has the professional credentials of LMT. The NPI Number for Dorothy J Kellum is 1730354606 and holds a License No. MA0016808 (Florida).

The current practice location address for Dorothy J Kellum is 115 Tamiami Trail, Nokomis, FL and can be reached out via phone at 941-493-8596 and via fax at 941-493-8596.

Location: 115 Tamiami Trail, Nokomis, FL, 34293-2716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730354606
Provider Name
Dorothy J Kellum
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
115 Tamiami Trail, Nokomis, FL, 34293-2716
Phone Number
941-493-8596
Fax Number
941-493-8596
Provider Enumeration Date
04/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C6078 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
115 Tamiami Trail
City
Nokomis
State
Florida
Zip
34275
Phone Number
941-493-8596
Fax Number
941-493-8596
person
Provider Business Mailing Address Details
Address
115 Tamiami Trail
City
Nokomis
State
Florida
Zip
34275
Phone Number
941-493-8596
Fax Number
941-493-8596
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA0016808 (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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