Search › Florida › 103TC1900X
Kisha Bazelais, PHD
NPI 1841637063 · on the registry since 2013 · sole proprietor
Practice
- Address
- 7901 4th St N # 8939
St Petersburg, FL 33702 - Phone
- (305) 676-7347
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Also registered as
- 103TC1900X
103TA0700X - Licence states on file
- NY, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida