Organization
GENTLE FOOTCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M FAUVER (CREDENTIALING MANAGER)
(440) 357-8418
Entity
Organization
Contact information
Practice address
8307 WINDHAM ST # 2, GARRETTSVILLE, OH 44231-9578
(330) 527-4088
(330) 527-4089
Mailing address
8307 WINDHAM ST # 2, GARRETTSVILLE, OH 44231-9578
(330) 527-4088
(330) 527-4089
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174790
—
OH
Enumeration date
03/23/2026
Last updated
03/26/2026
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