Individual
MS. TARA MICHELLE GERLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
218 N COLLEGE AVE, RIO GRANDE, OH 45674-3100
(740) 245-7299
(740) 245-7555
Mailing address
65 MILL CREEK RD, GALLIPOLIS, OH 45631-1762
(740) 591-3091
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-1658
OH
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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