Doctor Name: | LEON CHARLES GOSSET |
NPI Number: | 1992947477 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | MT006645 |
Business Practice Address: | 5704 Evers Rd San Antonio, TX - 782381717 |
Business Phone Number: | 2106846563 |
Business Fax Number: | 2105094445 |
Mailing Address: | 5704 Evers Rd, SAN ANTONIO |
State: | TX |
Postal Code: | 782381717 |
Phone Number: | 2106846563 |
Fax Number: | 2105094445 |
NPI Enumeration Date: | 03/31/2009 |
NPI Last Update Date: | 03/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT006645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |