NPI 1588765275 JOHNATHAN LEDEL GANNAWAY D.P.T. BOLINGBROOK IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Johnathan Ledel Gannaway - NPI: 1588765275

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JOHNATHAN LEDEL GANNAWAY
NPI Number: 1588765275
Entity Type Code: Individual (1)
Gender: M
Credentials: D.P.T.
License Number: 7565
Business Practice Address: 2125 Northpoint Blvd
Hixson, TN - 373434072
Business Phone Number: 4238753376
Business Fax Number: 4238753451
Mailing Address: 790 Remington Blvd,
BOLINGBROOK
State: IL
Postal Code: 604404909
Phone Number:
Fax Number:
NPI Enumeration Date: 09/26/2006
NPI Last Update Date: 12/17/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225100000X
License Number: 7565
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TN
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


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