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NPI Code Detail

MEDICARE: MRS. REBEKAH JOY GILL LMT

MEDICARE: MRS. REBEKAH JOY GILL LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1265111041
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBEKAH JOY GILL LMT
Provider Business Mailing Address
First Line : 2009 W MARKET ST
Second Line :
City : LEWISBURG
State : PA
Zip : 17837-1385
Country : US
Telephone Number : 570-523-1221
Fax Number :
Provider Business Practice Location Address
First Line : 2009 W MARKET ST
Second Line :
City : LEWISBURG
State : PA
Zip : 17837-1385
Country : US
Telephone Number : 570-523-1221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2023
Last Update Date : 07/18/2023

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