Davina Gelardi

NPI #1366982316 in Athol, Idaho

Provider Information

NPI Number: 1366982316
Entity Type: Individual
Name: Davina Gelardi
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Feb 24, 2017
Last Updated: Feb 24, 2017

Practice Location

Address: 6101 E HIGHWAY 54
City: Athol
State: Idaho
ZIP Code: 83801-6085
Phone: (208) 920-0825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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