MR. Jacob Edward Gansneder VIII, MASSAGE THERAPIST

NPI #1124496849 in Keswick, Virginia

Provider Information

NPI Number: 1124496849
Entity Type: Individual
Name: MR. Jacob Edward Gansneder VIII, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MASSAGE THERAPIST
Enumeration Date: Sep 11, 2015
Last Updated: Sep 11, 2015

Practice Location

Address: 3242 AVEBURY LN
City: Keswick
State: Virginia
ZIP Code: 22947-9103
Phone: (434) 981-4968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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