Individual
MS. KATHLEEN LINDA GALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2722 MANATEE AVE W, SUITE #1, BRADENTON, FL 34205-4945
(941) 713-1637
Mailing address
3203 AVENUE A W, BRADENTON, FL 34205-3425
(941) 713-1637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA50564
FL
Other
Enumeration date
06/30/2009
Last updated
05/06/2013
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