Kelleher, Mida Lila-Marie
Kelleher, Mida Lila-Marie is an sole proprietor health care provider with primary practice located at 2208 Woodbury Rd , Melbourne FL 32935-3059. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Kelleher, Mida Lila-Marie can be contacted via phone (321) 302-4860.Contact Information
Primary practice address
2208 Woodbury Rd
Melbourne FL 32935-3059
Phone: (321) 302-4860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA47456 | Florida |
Profile Details
| NPI number | 1104944511 |
|---|---|
| LBN Legal business name | Kelleher, Mida Lila-Marie |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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