NPI 1013336668

Cody Gohlke, PTDPT

Practitioner Physical Therapist Fort Worth, TX

Practice location

Address: 4625 Boat Club Rd, Fort Worth, TX 76135-7022
Phone: (817) 238-9295
Fax: (817) 238-9299
Mailing address: 6037 Harris Pkwy, Fort Worth, TX 76132-4103

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1239610 (TX)

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Registry record

NPI: 1013336668
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2014
Record last updated: 10 Apr 2014

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.