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NPI Code Detail

MEDICARE: DAVID WATSON GILBERT LMT

MEDICARE: DAVID WATSON GILBERT 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 TherapistNVMT-6853NV

General Provider Information

NPI Number : 1932590015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID WATSON GILBERT LMT
Provider Business Mailing Address
First Line : 3213 W CHARLESTON BLVD STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1991
Country : US
Telephone Number : 702-570-6222
Fax Number :
Provider Business Practice Location Address
First Line : 3213 W CHARLESTON BLVD STE 105
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1991
Country : US
Telephone Number : 702-570-6222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2015
Last Update Date : 02/11/2015

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Directions to “ DAVID WATSON GILBERT LMT” Practice Location

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