Individual
STEPHEN C. GAMBLIN
Active
Individual
STEPHEN C. GAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCSI, LMT
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
172M00000X
Mechanotherapist
Primary
—
—
225700000X
Massage Therapist
MT20902052
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT20902052
INDIANA
IN
Enumeration date
02/25/2009
Last updated
11/27/2025
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