Organization Name: | KEY WEST FAMILY PRACTICE, PLLC |
NPI Number: | 1134417124 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VALERIE A EVANS (BILLER) |
Mailing Address: | 3420 Duck Ave Key West |
State: | FL US |
Postal Code: | 330404427 |
Phone Number: | 3052965358 |
Fax Number: | 3052931146 |
NPI Enumeration Date: | 07/12/2011 |
NPI Last Update Date: | 07/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA25088 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |