Individual
APRIL MARIE GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12627 HIGHWAY 1078, FOLSOM, LA 70437-3554
(262) 359-0044
Mailing address
12627 HIGHWAY 1078, FOLSOM, LA 70437-3554
(262) 359-0044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
14831-146
WI
225700000X
Massage Therapist
Primary
LA9861
LA
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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