Individual
GUDJON BERGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
324 RIVERWALK DR STE 308, SAN MARCOS, TX 78666-6936
(737) 248-1499
Mailing address
480 HOGAN, KYLE, TX 78640-5402
(512) 241-9638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT140730
TX
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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