MEDICARE: GENTLE LYMPHATIC MOBILE MASSAGE

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

General Provider Information

NPI Number	:	1538978689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE LYMPHATIC MOBILE MASSAGE

Provider Business Mailing Address
First Line	:	7816 HIDDEN GAZEBO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-8251
Country	:	US
Telephone Number	:	702-205-8792
Fax Number	:

Provider Business Practice Location Address
First Line	:	7816 HIDDEN GAZEBO ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-8251
Country	:	US
Telephone Number	:	702-205-8792
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TERESA A TURNER
Credential	:	LMT, CLT
Telephone Number	:	702-205-8792

Provider Enumeration Date	:	01/03/2025
Last Update Date	:	01/03/2025

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Directions to “GENTLE LYMPHATIC MOBILE MASSAGE ” Practice Location

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