Most Relevant Information
Provider Data
| NPI Number: | 1003423765 |
| Provider Name: | KALEY JO TAYLOR LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 95724 |
Most Important Dates
| Enumeration Date: | 09/28/2020 |
| Last Updated: | 09/28/2020 |
Provider Practice Location
808 CHARLES ST
PORT ORANGE
FL
321293824
Practice Location Phone/Fax
| Phone: | 3866799419 |
| Fax: |
Provider Mailing Location
808 CHARLES ST
PORT ORANGE
FL
321293824
Provider Mailing Phone/Fax
| Phone: | 3866799419 |
| Fax: |