Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA0011017 | FL |
NPI | 1023137130 |
---|---|
Provider Name | Ms. Cheryl Kay Barnes |
First Address | Gainesville, FL 32653-2187 |
Second Address | Gainesville, FL 32605-6121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 10/09/2009 |