Individual
PAULETTE K GEHRKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCTM, CPT
Contact information
Practice address
92 E STATE ROAD 59, SUITE B, EDGERTON, WI 53534-9142
(608) 931-5246
Mailing address
608 ALBION RD, EDGERTON, WI 53534-9539
(608) 931-5246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4051-046
WI
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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