Jody A Phillips, LMT, CNA

NPI #1922367655 in Venice, Florida

Provider Information

NPI Number: 1922367655
Entity Type: Individual
Name: Jody A Phillips, LMT, CNA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, CNA
Enumeration Date: May 15, 2012
Last Updated: May 15, 2012

Practice Location

Address: 1901 TAMIAMI TRL S STE B
City: Venice
State: Florida
ZIP Code: 34293-5002
Phone: (941) 525-4878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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