Kody Lane, LMT

NPI #1083445605 in Ocoee, Florida

Provider Information

NPI Number: 1083445605
Entity Type: Individual
Name: Kody Lane, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 13, 2024
Last Updated: Aug 13, 2024

Practice Location

Address: 801 BURR OAK DR
City: Ocoee
State: Florida
ZIP Code: 34761-3134
Phone: (321) 947-7545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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