# GAUTIER WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GAUTIER WELLNESS LLC, COAST ULTRASOUND
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710715370
- **Authorized official:** ALICIA GATZ ARDMS (OWNER)
- **Authorized official phone:** (816) 448-9515

## Contact information

- **Practice address:** 4535B GAUTIER VANCLEAVE RD, GAUTIER, MS 39553-4810
- **Practice address phone:** (228) 641-9401
- **Mailing address:** 4535B GAUTIER VANCLEAVE RD, GAUTIER, MS 39553-4810
- **Mailing address phone:** (844) 641-6401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2024
- **Last updated:** 10/10/2025