NPI 1326404906

Earnest Gildon, LMT

Practitioner Massage Therapist Brookline, MA

Practice location

Address: 5 Park Vale APT 4c, Brookline, MA 02446-6228
Phone: (617) 596-3429

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT-10217-MT (MA)

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Registry record

NPI: 1326404906
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2016
Record last updated: 12 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.