Individual
GILBERT BRYANT GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1034 N 3RD ST, COEUR D ALENE, ID 83814-3145
(208) 691-4424
(208) 772-8311
Mailing address
1923 E CANFIELD AVE, DALTON GARDENS, ID 83815-9584
(208) 691-4424
(208) 772-8311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60233180
WA
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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