Individual
CORTNEY GEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1611 10TH AVE W, PALMETTO, FL 34221-3018
(937) 361-6676
Mailing address
1611 10TH AVE W, PALMETTO, FL 34221-3018
(937) 361-6676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA82147
FL
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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