Individual
MISS SHAWNA MARIE GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
475 BEDICO PKWY, MADISONVILLE, LA 70447-3274
(561) 701-3189
Mailing address
475 BEDICO PKWY, MADISONVILLE, LA 70447-3274
(561) 701-3189
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013373
WA
225700000X
Massage Therapist
Primary
LA10336
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190471
LABOR AND INDUSTRIES
WA
Enumeration date
05/22/2007
Last updated
03/11/2026
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