Individual provider · Type 1 NPI
Christopher B. Gardner, LMT
Massage Therapist · St. Augustine, FL
NPI number
1164715264
Active
Practice location
115A Flagler Blvd
St. Augustine, FL 32080-3795
Fax (904) 460-9444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA18195 (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 1164715264
Christopher B. Gardner, LMT's National Provider Identifier is 1164715264, issued on May 23, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Augustine, FL. The record was last updated on May 23, 2011.