Individual
CHAD ALLEN GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
402 THUNDERING HERD DR, HUNTINGTON, WV 25755-0001
(304) 696-4110
Mailing address
PO BOX 445, HUNTINGTON, WV 25709-0445
(304) 696-4110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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