Jeffrey Thomas Gillum in Imperial - Physical Therapist

Jeffrey Thomas Gillum - NPI 1548235542

Jeffrey Thomas Gillum is a Physical Therapist in Imperial, Missouri. Jeffrey Thomas Gillum practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jeffrey Thomas Gillum is 1548235542. The last update date is 2007-07-08.

Jeffrey Thomas Gillum's current location address is 1868 Cottonwood Dr, Imperial, Missouri. You can contact this provider via phone number 5737562320 and fax number 5737608677. The mailing address for Jeffrey Thomas Gillum is 1868 Cottonwood Dr, Imperial, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Thomas Gillum
Address 1868 Cottonwood Dr, Imperial, Missouri
Phone Number 5737562320
Fax Number 5737608677
Sole Proprietor X
Credentials MPT, ATC

NPI Number Detail

NPI Number 1548235542
Provider Enumeration Date 2006-02-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1868 Cottonwood Dr
City Imperial
State Missouri (MO)
Post Code 630521573
Phone Number 5737562320
Fax Number 5737608677

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 2001009684
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

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FAQs about Jeffrey Thomas Gillum

What is the unique 10-digit identifier code issued to Jeffrey Thomas Gillum by the Centers for Medicare & Medicaid Services?

The Jeffrey Thomas Gillum has been assigned the NPI (National Provider Identifier) 1548235542 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jeffrey Thomas Gillum is physically located?

The Jeffrey Thomas Gillum is situated at the following address: 1868 Cottonwood Dr, Imperial, MO 630521573.

What is the area of specialization for Jeffrey Thomas Gillum, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeffrey Thomas Gillum is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1548235542 to Jeffrey Thomas Gillum?

The Centers for Medicare & Medicaid Services originally issued the 1548235542 to Jeffrey Thomas Gillum on 2006-02-22.

When was the Jeffrey Thomas Gillum's information last updated?

The Jeffrey Thomas Gillum's information was last updated on 2007-07-08.

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