Individual
TARA GAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1010 MAIN ST STE A, SAINT JOSEPH, MI 49085-2058
(269) 221-3147
Mailing address
10170 HILLS RD, BARODA, MI 49101-9795
(269) 221-3147
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004804
MI
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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