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MISS GABRIELLE BANKSTON LMT
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1710360847
Individual Registrant:MISS GABRIELLE BANKSTON LMT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
191 JONESVILLE AVE YEMASSEE, SC 29945-4703 US
Tel: 843-214-8646 Fax: --
Tel: 843-214-8646 Fax: --
Contact information for business:
191 JONESVILLE AVE YEMASSEE, SC 29945-4703 US
Tel: 843-214-8646 Fax: --
Tel: 843-214-8646 Fax: --
Registration Information:
NPI: 1710360847
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | SC | 8955 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
