DOUGLAS JOHN GATEWOOD - NPI 1063186187 - Massage Therapist in Prescott Valley, AZ

Q: What is Douglas Gatewood's NPI number?

The NPI number for Douglas Gatewood is 1063186187. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Q: What is Douglas Gatewood's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Gatewood was last updated on August 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Douglas John Gatewood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS JOHN GATEWOOD (NPI 1063186187) is an individual massage therapist in Prescott Valley, Arizona, licensed in Arizona (MT-18583) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1063186187

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameDOUGLAS JOHN GATEWOOD

Location Address8200 E JACQUE DRPrescott Valley, AZ 86314-6172

Mailing Address6345 E Andover LnPrescott Valley, AZ 86314-9233 · (928) 830-5491

Phone(928) 277-8715

Sole ProprietorYes

Enumeration DateAugust 3, 2021

NPPES CertifiedJuly 29, 2021

✔ NPI 1063186187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in AZ · MT-18583

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.

8200 E JACQUE DR, Prescott Valley, AZ 86314

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