Individual
GINA KILGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, CR
Contact information
Practice address
4412 SPICEWOOD SPRINGS RD STE 402, AUSTIN, TX 78759-8500
(512) 796-2538
Mailing address
4412 SPICEWOOD SPRINGS RD STE 402, AUSTIN, TX 78759-8500
(512) 796-2538
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT102241
TX
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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