Individual
JO ELLIOTT GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MLD-C
Contact information
Practice address
930 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3234
(603) 345-2749
Mailing address
930 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3234
(603) 345-2749
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16722
MA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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