Individual
GAIL BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
12 S ERWIN ST, STE #3, CARTERSVILLE, GA 30120-3560
(404) 925-6519
Mailing address
PO BOX 112, CARTERSVILLE, GA 30120-0112
(404) 925-6519
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000954
GA
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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