| Doctor Name: | MR. MITCHELL ROBERT GAUTHIER |
| NPI Number: | 1376585760 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 006043 |
| Business Practice Address: | 2419 Hwy 121 Bedford, TX - 76021 |
| Business Phone Number: | 8175404477 |
| Business Fax Number: | 8175405633 |
| Mailing Address: | 2425 Highway 121, BEDFORD |
| State: | TX |
| Postal Code: | 760215011 |
| Phone Number: | 8175404477 |
| Fax Number: | 8175405633 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 12/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 006043 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| 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 |