Provider Demographics
NPI:1598536591
Name:MILLS, BRITTNEY MICHELLE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:MICHELLE
Last Name:MILLS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16570 W HIGHWAY 326
Mailing Address - Street 2:
Mailing Address - City:MORRISTON
Mailing Address - State:FL
Mailing Address - Zip Code:32668-7307
Mailing Address - Country:US
Mailing Address - Phone:352-492-6363
Mailing Address - Fax:
Practice Address - Street 1:1302 SE 25TH LOOP STE 104
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1020
Practice Address - Country:US
Practice Address - Phone:352-492-6363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA80306225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist