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Mr. Jonathan Gallup Gallup, LMT
Massage Therapist in Fort Myers, Florida
NPI 1093992059

Jonathan Gallup Gallup is a Massage Therapist based in Punta Gorda, FL. Jonathan Gallup Gallup practices in Fort Myers, FL and has the professional credentials of LMT. The NPI Number for Jonathan Gallup Gallup is 1093992059 and holds a License No. MA52036 (Florida).

The current practice location address for Jonathan Gallup Gallup is 2212 Cleveland Ave, Fort Myers, FL and can be reached out via phone at 941-268-9653. You can also correspond with Jonathan Gallup Gallup through the mailing address at 25334 JUBAL ST, PUNTA GORDA, FL - 33955-4251 (mailing address contact number: 941-575-7636).

Location: 2212 Cleveland Ave, Fort Myers, FL, 33955-4251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093992059
Provider Name
Jonathan Gallup Gallup
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
2212 Cleveland Ave, Fort Myers, FL, 33955-4251
Phone Number
941-268-9653
Fax Number
Provider Enumeration Date
01/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2212 Cleveland Ave
City
Fort Myers
State
Florida
Zip
33901-3501
Phone Number
941-268-9653
Fax Number
person
Provider Business Mailing Address Details
Address
25334 Jubal St
City
Punta Gorda
State
Florida
Zip
33955-4251
Phone Number
941-575-7636
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA52036 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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