Individual
MS. KATHERINE GAUDREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCMT
Contact information
Practice address
92 MAIN ST, SUITE 202-4, WARRENTON, VA 20186-3366
(540) 222-0669
Mailing address
PO BOX 3665, WARRENTON, VA 20186
(540) 222-0669
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008401
VA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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