MRS. Evalena Kaye Mock, LMT

NPI #1851179725 in Perry, Florida

Provider Information

NPI Number: 1851179725
Entity Type: Individual
Name: MRS. Evalena Kaye Mock, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 20, 2023
Last Updated: Sep 20, 2023

Practice Location

Address: 1304 S JEFFERSON ST
City: Perry
State: Florida
ZIP Code: 32348-4731
Phone: (850) 371-4395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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