Individual
MRS. JACQULINE LEE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2021 ROGERS AVE # 72901, FORT SMITH, AR 72901-3933
(479) 926-2768
Mailing address
2021 ROGERS AVE # 72901, FORT SMITH, AR 72901-3933
(479) 926-2768
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8582
AR
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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