Doctor Name: | MR. DENNIS TRACY GILBERT |
NPI Number: | 1164553848 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2849052401 |
Business Practice Address: | 4607 Midland Dr Suit 201 West Haven, UT - 844019507 |
Business Phone Number: | 8017328700 |
Business Fax Number: | 8017322103 |
Mailing Address: | 1133 Creek View Dr, FRUIT HEIGHTS |
State: | UT |
Postal Code: | 840372665 |
Phone Number: | 8015970522 |
Fax Number: | 8017322130 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2849052401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |