Doctor Name: | LONNIE GILMORE |
NPI Number: | 1598955759 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 005825 |
Business Practice Address: | 1551 Professional Ln Ste 150 Longmont, CO - 805016972 |
Business Phone Number: | 7204944750 |
Business Fax Number: | 7204944751 |
Mailing Address: | 1551 Professional Ln Ste 150, LONGMONT |
State: | CO |
Postal Code: | 805016972 |
Phone Number: | 7204944750 |
Fax Number: | 7204944751 |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 03/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 005825 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
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 |