Doctor Name: | IAN J GILKISON |
NPI Number: | 1558793943 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 60278 |
Business Practice Address: | 221 Main St E Monmouth, OR - 973612240 |
Business Phone Number: | 5038384244 |
Business Fax Number: | 5038384442 |
Mailing Address: | 685 36th Ave Ne, SALEM |
State: | OR |
Postal Code: | 973014741 |
Phone Number: | 5035408701 |
Fax Number: | 5033718772 |
NPI Enumeration Date: | 08/07/2013 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 60278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |