Doctor Name: | MR. LUKE D GENTRY |
NPI Number: | 1174709737 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 34411 |
Business Practice Address: | 35325 Date Palm Dr Suite 131 Cathedral City, CA - 922347014 |
Business Phone Number: | 7602020368 |
Business Fax Number: | 7607701973 |
Mailing Address: | 805 Aerovista Pl, #201 SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934017919 |
Phone Number: | 8057880805 |
Fax Number: | 8057880845 |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 02/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 34411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |