Individual
MS. SHAVON KANISE GALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
45 W 45TH ST, NEW YORK, NY 10036-4602
(347) 763-7900
Mailing address
178 COLUMBUS AVE UNIT 230753, NEW YORK, NY 10023-9629
(404) 398-3015
(315) 897-5478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028284
NY
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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