Individual
MR. GREGGORY THOMAS GAUSDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6819 S 167TH ST, OMAHA, NE 68135-5401
(531) 375-5673
Mailing address
6819 S 167TH ST, OMAHA, NE 68135-5401
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3991
NE
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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