Individual provider · Type 1 NPI

Mida Lila-Marie Kelleher, LMT

Massage Therapist · Melbourne, FL

NPI number 1104944511 Active

Practice location

2208 Woodbury Rd
Melbourne, FL 32935-3059

Call (321) 302-4860 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA47456 (FL)

Massage Therapist: 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.

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About NPI 1104944511

Mida Lila-Marie Kelleher, LMT's National Provider Identifier is 1104944511, issued on Mar 26, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Melbourne, FL. The record was last updated on Jul 8, 2007.