Individual
SHEREE GANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
CAMTC 28155
CA
225700000X
Massage Therapist
MA58085
FL
225700000X
Massage Therapist
NVMT 5570
NV
Other
Enumeration date
12/06/2012
Last updated
09/10/2014
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