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Gloria Jean Shackelford
Massage Therapist in Wauchula, Florida
NPI 1609261056

Gloria Jean Shackelford is a Massage Therapist based in Wauchula, FL. Gloria Jean Shackelford practices in Wauchula, FL. The NPI Number for Gloria Jean Shackelford is 1609261056 and holds a License No. MA33289 (Florida).

The current practice location address for Gloria Jean Shackelford is 114 W Orange St, Wauchula, FL and can be reached out via phone at 863-773-5646.

Location: 114 W Orange St, Wauchula, FL, 33873-2826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609261056
Provider Name
Gloria Jean Shackelford
Credential
Provider Entity Type
Individual
Gender
Female
Address
114 W Orange St, Wauchula, FL, 33873-2826
Phone Number
863-773-5646
Fax Number
Provider Enumeration Date
04/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
114 W Orange St
City
Wauchula
State
Florida
Zip
33873
Phone Number
863-773-5646
Fax Number
person
Provider Business Mailing Address Details
Address
114 W Orange St
City
Wauchula
State
Florida
Zip
33873
Phone Number
863-773-5646
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA33289 (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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