Organization Name: | GILBERT PT, LLC |
NPI Number: | 1639472244 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN M EBY (OWNER) |
Mailing Address: | 610 N Gilbert Rd Suite 309 Gilbert |
State: | AZ US |
Postal Code: | 852344502 |
Phone Number: | 4809261111 |
Fax Number: | 4809262958 |
NPI Enumeration Date: | 12/21/2010 |
NPI Last Update Date: | 08/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 7280 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |