MS. Mida Lila-Marie Kelleher, LMT

NPI #1104944511 in Melbourne, Florida

Provider Information

NPI Number
1104944511
Entity Type
Individual
Name
MS. Mida Lila-Marie Kelleher, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Mar 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2208 WOODBURY RD
State
Florida
ZIP Code
32935-3059
Phone
(321) 302-4860

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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