MEDICARE: GLORIA GONZALEZ 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
1	225700000X	Massage Therapist	33.027843	OH

General Provider Information

NPI Number	:	1427902097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA GONZALEZ LMT

Provider Business Mailing Address
First Line	:	4701 OLENTANGY RIVER RD STE 201
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1951
Country	:	US
Telephone Number	:	614-756-7935
Fax Number	:

Provider Business Practice Location Address
First Line	:	4701 OLENTANGY RIVER RD STE 201
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1951
Country	:	US
Telephone Number	:	614-614-0416
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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