| Doctor Name: | MR. JEFFREY STEPHEN GORDON |
| NPI Number: | 1215008495 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 5926 |
| Business Practice Address: | 1755 Westwood Way # 7 Fairbanks, AK - 997094064 |
| Business Phone Number: | 9074790623 |
| Business Fax Number: | 8887619303 |
| Mailing Address: | Po Box 81062, FAIRBANKS |
| State: | AK |
| Postal Code: | 997081062 |
| Phone Number: | 9074790623 |
| Fax Number: | 8887619303 |
| NPI Enumeration Date: | 11/10/2006 |
| NPI Last Update Date: | 04/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5926 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| 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 |