Individual
STEPHEN C. GAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCSI, LMT
Contact information
Practice address
2112 S MONTCLAIR AVE, BLOOMINGTON, IN 47401-6814
(812) 330-0789
Mailing address
2112 S MONTCLAIR AVE, BLOOMINGTON, IN 47401-6814
(812) 330-0789
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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