Individual
MRS. GAIL COURTNEY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
929 HABEN BLVD, PALMETTO, FL 34221-4163
(941) 729-9320
(941) 723-6368
Mailing address
929 HABEN BLVD, PALMETTO, FL 34221-4163
(941) 729-9320
(941) 723-6368
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA15140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5910
BLUE SHIELD PROVIDER
—
Enumeration date
09/16/2006
Last updated
07/08/2007
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