Individual
KATHLEEN S GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
306 PERRY AVE SE, FORT WALTON BEACH, FL 32548-5848
(850) 864-0800
Mailing address
2584 WEEPING WILLOW LN, NAVARRE, FL 32566-2450
(850) 454-9132
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA42983
FL
Other
Enumeration date
05/23/2007
Last updated
06/06/2013
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