Individual provider · NPI-1
Gary E Adams, KT
Kinesiotherapist · Wilkes Barre, PA
NPI number1114181682
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1114181682
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gary E Adams
- Credential
- KT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2008
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 226300000X | Kinesiotherapist | – | – | Yes |
Practice location
1111 E End BlvdWilkes Barre, PA 18711-0030
Phone 570-824-3521
Mailing address
1111 E End BlvdWilkes Barre, PA 18711-0030
Phone 570-824-3521
Other practice locations
1481 W 10th St
Indianapolis, IN 46202-2803
Indianapolis, IN 46202-2803
Phone 317-988-3404
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