Most Relevant Information
Provider Data
| NPI Number: | 1003015058 |
| Provider Name: | LEANN C ELMORE LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA41181 |
Most Important Dates
| Enumeration Date: | 07/11/2007 |
| Last Updated: | 09/29/2008 |
Provider Practice Location
8840 44TH AVE
SEBASTIAN
FL
329587556
Practice Location Phone/Fax
| Phone: | 7728829773 |
| Fax: |
Provider Mailing Location
PO BOX 650124
VERO BEACH
FL
329650124
Provider Mailing Phone/Fax
| Phone: | 7728829773 |
| Fax: |