Gavin Lance Powell, MASSAGETHERAPIST
Gavin Lance Powell, MASSAGETHERAPIST is a Massage Therapist in New York, New York. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2023
Practice location Address checks out
630 W 173rd StNew York, NY 10032-1413
Phone: (810) 835-9314
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Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MT014426 (GA) |
|---|
Record details
| NPI number | 1417659509 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MASSAGETHERAPIST |
| Sole proprietor | Yes |
| NPI enumerated | March 21, 2023 |
| Last updated in NPPES | March 21, 2023 |
| Certification date | March 21, 2023 |
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