NPI 1013018217
Gary S Carlson, DPTMSSCS
Practice location
- Address
- 2125 Northpoint Blvd, Hixson, TN 37343-4072
- Phone
- (423) 875-3376
- Mailing address
- 790 Remington Blvd, Bolingbrook, IL 60440-4909
Registered specialties (2)
Physical Therapist
Primary
Physical Therapist
Registry record
- NPI
- 1013018217
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Sep 2006
- Record last updated
- 26 Feb 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.