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Jacquline Lee Gates, lmt

Massage Therapist in Fort Smith, AR. Individual provider (NPI-1).

NPI number1619703733
StatusActive
Last updated in NPPESSep 13, 2024

Details

NPI
1619703733
Entity type
Individual (NPI-1)
Name
Mrs. Jacquline Lee Gates
Credential
lmt
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 13, 2024
Certification date
Sep 13, 2024
Last updated
Sep 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist8582ARYes

Practice location

2021 Rogers Ave # 72901
Fort Smith, AR 72901-3933

Phone 479-926-2768

Mailing address

2021 Rogers Ave # 72901
Fort Smith, AR 72901-3933

Phone 479-926-2768

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