Kelly M Lieneke, LMT

NPI #1043583289 in Melbourne, Florida

Provider Information

NPI Number
1043583289
Entity Type
Individual
Name
Kelly M Lieneke, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
LMT
Enumeration Date
Feb 20, 2012
Last Updated
Feb 20, 2012

Practice Location

Address
6300 N WICKHAM RD STE 116
State
Florida
ZIP Code
32940-2023
Phone
(321) 757-6899

Specialties & Taxonomy Codes

Specialty
Specialist

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