Individual provider · Type 1 NPI

Jonathan Gallup Gallup, LMT

Massage Therapist · Fort Myers, FL

NPI number 1093992059 Active

Practice location

2212 Cleveland Ave
Fort Myers, FL 33901-3501

Call (941) 268-9653 Map

Mailing address

25334 Jubal St
Punta Gorda, FL 33955-4251

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA52036 (FL)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1093992059

Jonathan Gallup Gallup, LMT's National Provider Identifier is 1093992059, issued on Jan 22, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Myers, FL. The record was last updated on Jan 22, 2008.