Individual provider · Type 1 NPI
Gudjon Bergmann, MASSAGE THERAPIST
Massage Therapist · San Marcos, TX
NPI number
1780411801
Active
Practice location
324 Riverwalk Dr Ste 308
San Marcos, TX 78666-6936
Mailing address
480 Hogan
Kyle, TX 78640-5402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT140730 (TX) |
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 1780411801
Gudjon Bergmann, MASSAGE THERAPIST's National Provider Identifier is 1780411801, issued on Sep 14, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Marcos, TX. The record was last updated on Sep 14, 2024.