Individual
TINA GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 W MAIN ST, WYTHEVILLE, VA 24382-2303
(276) 759-6900
Mailing address
180 W MAIN ST, WYTHEVILLE, VA 24382-2303
(540) 230-8027
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019011699
VA
225700000X
Massage Therapist
0019011699
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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