Most Relevant Information
Provider Data
| NPI Number: | 1003050964 |
| Provider Name: | LAURA K TEHENNEPE B.A., L.M.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA52081 |
Most Important Dates
| Enumeration Date: | 04/22/2009 |
| Last Updated: | 04/08/2014 |
Provider Practice Location
810 NE 4TH AVE
GAINESVILLE
FL
326015552
Practice Location Phone/Fax
| Phone: | 2679756586 |
| Fax: |
Provider Mailing Location
810 NE 4TH AVE
GAINESVILLE
FL
326015552
Provider Mailing Phone/Fax
| Phone: | 2679756586 |
| Fax: |