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CHRISTINE LYNNE ULSETH LMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1568622504

Individual Registrant:
 CHRISTINE LYNNE ULSETH LMT
Gender: F
Sole Proprietor

Location and contact information for practice:
490 E HATHAWAY AVE  BRONSON, FL 32621-6736 US
Tel: 352-486-6899  Fax: 352-486-3865

Contact information for business:
PO BOX 247  BRONSON, FL 32621-0247 US
Tel: 352-486-6899  Fax: 352-486-3865

Registration Information:
NPI: 1568622504
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA25691

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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