Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 006306 | IA |
NPI | 1013483908 |
---|---|
Provider Name | Mrs. Annette S Garbes |
First Address | Waterloo, IA 50701-3200 |
Second Address | Waterloo, IA 50701-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2018 |
Last Update Date | 17/10/2018 |