Individual
DESTINY ANASTASIA GOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CEMFT
Contact information
Practice address
119 MADISON ST, ALEXANDER CITY, AL 35010-2525
(256) 487-1352
Mailing address
119 MADISON ST, ALEXANDER CITY, AL 35010-2525
(256) 487-1352
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5957
AL
Other
Enumeration date
10/08/2024
Last updated
10/11/2024
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