Individual provider · Type 1 NPI
Cleo G. Gonzalez, MASSAGE THERAPIST
Specialist · San Antonio, TX
NPI number
1053768804
Active
Practice location
85 NE Loop 410, Ste 214
San Antonio, TX 78216-5829
Fax (866) 381-5557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT124958 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1053768804
Cleo G. Gonzalez, MASSAGE THERAPIST's National Provider Identifier is 1053768804, issued on May 23, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Antonio, TX. The record was last updated on May 23, 2016.