Mr Jonathan Gallup Gallup, LMT | |
2212 Cleveland Ave, Fort Myers, FL 33901-3501 | |
(941) 268-9653 | |
Not Available |
Full Name | Mr Jonathan Gallup Gallup |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 2212 Cleveland Ave, Fort Myers, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093992059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA52036 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Jonathan Gallup Gallup, LMT 25334 Jubal St, Punta Gorda, FL 33955-4251 Ph: (941) 575-7636 | Mr Jonathan Gallup Gallup, LMT 2212 Cleveland Ave, Fort Myers, FL 33901-3501 Ph: (941) 268-9653 |
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