Doctor Name: | MS. AMY MARIE WHITLATCH-GILLUM |
NPI Number: | 1548460876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 01782 |
Business Practice Address: | 708 S Jefferson Way Indianola, IA - 501250319 |
Business Phone Number: | 5159612596 |
Business Fax Number: | 5159612860 |
Mailing Address: | 708 S Jefferson Way, Po Box 319 INDIANOLA |
State: | IA |
Postal Code: | 501250319 |
Phone Number: | 5159612596 |
Fax Number: | 5159612860 |
NPI Enumeration Date: | 07/24/2007 |
NPI Last Update Date: | 07/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 01782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |