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Gavin Lance Powell, MASSAGETHERAPIST
Massage Therapist in New York, New York
NPI 1417659509

Gavin Lance Powell is a Massage Therapist based in New York, NY. Gavin Lance Powell practices in New York, NY and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Gavin Lance Powell is 1417659509 and holds a License No. MT014426 (New York).

The current practice location address for Gavin Lance Powell is 630 W 173Rd St, New York, NY and can be reached out via phone at 810-835-9314.

Location: 630 W 173Rd St, New York, NY, 10025-1524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417659509
Provider Name
Gavin Lance Powell
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Male
Address
630 W 173Rd St, New York, NY, 10025-1524
Phone Number
810-835-9314
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
630 W 173Rd St
City
New York
State
New York
Zip
10032-1413
Phone Number
810-835-9314
Fax Number
person
Provider Business Mailing Address Details
Address
630 W 173Rd St
City
New York
State
New York
Zip
10032-1413
Phone Number
810-835-9314
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT014426 (Georgia)
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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