| Doctor Name: | KENDRICK D GATEWOOD |
| NPI Number: | 1285067231 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | PT008846 |
| Business Practice Address: | 6002 Professional Pkwy Suite 140 Douglasville, GA - 301345600 |
| Business Phone Number: | 7709492261 |
| Business Fax Number: | 7709490859 |
| Mailing Address: | 900 Circle 75 Pkwy Se, Suite 1700 ATLANTA |
| State: | GA |
| Postal Code: | 303393035 |
| Phone Number: | 7709536929 |
| Fax Number: | 7709536972 |
| NPI Enumeration Date: | 08/14/2013 |
| NPI Last Update Date: | 01/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT008846 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| 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 |