Keegan Ryan Flame Thrower, LMT

NPI #1700147121 in Hudson, Florida

Provider Information

NPI Number
1700147121
Entity Type
Individual
Name
Keegan Ryan Flame Thrower, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Jun 1, 2012
Last Updated
Jun 1, 2012

Practice Location

Address
15215 US HIGHWAY 19
Address 2
SUITE H
City
Hudson
State
Florida
ZIP Code
34667-3675
Phone
(727) 828-7070

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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