Individual
DANIEL RAY GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 JAMES ST, RICHLAND, MS 39218-6007
(601) 203-9992
(601) 203-9992
Mailing address
203 JAMES ST, RICHLAND, MS 39218-6007
(601) 203-9992
(601) 203-9992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3917
MS
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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