Individual
CARMEN LYDIA GITTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CRR
Contact information
Practice address
1110 AGENCY ST, BURLINGTON, IA 52601-4304
(319) 855-4013
Mailing address
1016 S 7TH ST, BURLINGTON, IA 52601-5938
(319) 850-3224
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90443
IA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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