Individual
STACY ANN GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 BROADWAY, HAVERHILL, MA 01832-1206
(978) 935-1390
Mailing address
20 EAST ST APT 2, TEWKSBURY, MA 01876-1900
(978) 935-1390
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16030-MT-MT
MA
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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