Gloria Louise Gautreaux, LMT,MMP,MLD-C
Individual provider Active NPI Massage Therapist · Toano, VA
NPI 1508555749 · NPPES record last updated Aug 8, 2025
Key facts
- NPI
- 1508555749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0019017676 (VA)
- Practice address
- 2705 Little Creek Dam Rd
Toano, VA 23168-8620 - Phone
- (757) 812-5568
- NPI assigned
- May 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019017676 | VA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019017676 | VA | Yes |
Addresses
Primary practice location
2705 Little Creek Dam Rd
Toano, VA 23168-8620
Mailing address
2705 Little Creek Dam Rd
Toano, VA 23168-8620
Phone (757) 812-5568
Other providers in Toano, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.