Provider Demographics
NPI:1770763658
Name:GRAUEL, LOUISA J (LMT)
Entity type:Individual
Prefix:MS
First Name:LOUISA
Middle Name:J
Last Name:GRAUEL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OSTERVILLE WEST BARNSTABLE RD
Mailing Address - Street 2:
Mailing Address - City:OSTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02655-1549
Mailing Address - Country:US
Mailing Address - Phone:508-737-1147
Mailing Address - Fax:
Practice Address - Street 1:10 OSTERVILLE WEST BARNSTABLE RD
Practice Address - Street 2:
Practice Address - City:OSTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02655-1549
Practice Address - Country:US
Practice Address - Phone:508-737-1147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist