Paulette K Gehrke, LMT, NCTM, CPT
Individual provider Active NPI Massage Therapist · Edgerton, WI
NPI 1861661860 · NPPES record last updated Feb 22, 2008
Key facts
- NPI
- 1861661860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 4051-046 (WI)
- Practice address
- 92 E State Road 59
Suite B
Edgerton, WI 53534-9142 - Phone
- (608) 931-5246
- NPI assigned
- Feb 22, 2008
- 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 |
|---|---|---|---|
| 4051-046 | WI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4051-046 | WI | Yes |
Addresses
Primary practice location
92 E State Road 59
Suite B
Edgerton, WI 53534-9142
Mailing address
608 Albion Rd
Edgerton, WI 53534-9539
Phone (608) 931-5246
Other providers in Edgerton, WI
- James Michael Fox
- Justin C. Frey
- Dawn Dorothea Friedrichslpn
- Ashley Fry
- Kerry Gasser
- Tanya R Getchell
- Brian Gibbs
- Kelli Ann Goodsir
- David P Gorski
- Nathan Greengus
All providers in Edgerton, WI · Massage Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2008. 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.