KENNETH G BANNISTER

BRADENTON, FL
NPI1437519402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: FL  MA71840)
Enumeration Date2016-03-03
Last Update Date2016-03-03
Business Address
-- KENNETH G BANNISTER
302 26TH AVENUE EAST APT 101
BRADENTON, FL 34205
Phone number: 941-962-7542
Mailing Address
-- KENNETH G BANNISTER
302 26TH AVE E APT 101
BRADENTON, FL 34205
Phone number: 941-962-7542