Individual
JACQUELINE CHERI GILLHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
136 OLD SAN ANTONIO RD, SUITE 105, BOERNE, TX 78006-3413
(210) 838-7925
(830) 249-2352
Mailing address
136 OLD SAN ANTONIO RD, SUITE 105, BOERNE, TX 78006-3413
(210) 838-7925
(830) 249-2352
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
036055
TX
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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