Individual
DAVID GASSNER
Active
Individual
DAVID GASSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CLT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009561
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009561
STATE LICENSE
CT
Enumeration date
12/03/2019
Last updated
10/27/2022
Update your record
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