Jo Elliott Gutierrez, LMT, MLD-C
Massage Therapist in Cambridge, MA. Individual provider (NPI-1).
NPI number1134801046
StatusActive
Last updated in NPPESAug 1, 2023
Details
- NPI
- 1134801046
- Entity type
- Individual (NPI-1)
- Name
- Jo Elliott Gutierrez
- Credential
- LMT, MLD-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2023
- Certification date
- Aug 1, 2023
- Last updated
- Aug 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 16722 | MA | Yes |
Other names
- Josephine Dell Johnson (Former Name)
Practice location
930 Massachusetts AveCambridge, MA 02139-3234
Phone 603-345-2749
Mailing address
930 Massachusetts AveCambridge, MA 02139-3234
Phone 603-345-2749
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