| Doctor Name: | CHRISTINA GORMASTIC GILLES |
| NPI Number: | 1417963240 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 004448 |
| Business Practice Address: | 3303 Fern Valley Rd Louisville, KY - 402133529 |
| Business Phone Number: | 5029644889 |
| Business Fax Number: | 5029649769 |
| Mailing Address: | Po Box 950248, LOUISVILLE |
| State: | KY |
| Postal Code: | 402950248 |
| Phone Number: | 5024895730 |
| Fax Number: | 5024895733 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 01/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 004448 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |