Organization
SUSAN GIBSON
Active
Other names
CST
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GIBSON FL LMT MA20318 (MASSAGE THERAPIST)
(772) 530-0093
Entity
Organization
Contact information
Practice address
611 SW FEDERAL HWY, STUART, FL 34994-2925
(772) 530-0093
Mailing address
5143 SE BLUE HERON LN, STUART, FL 34997-3314
(772) 530-0093
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA20318
FL
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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