NPI 1083283311

Alan Gimmy, PTA

Practitioner Physical Therapy Assistant Marion, IL

Practice location

Address: 2401 W Main St, Marion, IL 62959-1188
Phone: (618) 751-0066
Mailing address: 6759 Day Rd, Carbondale, IL 62902-0497

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160005863 (IL)

Other Physical Therapy Assistant providers in Illinois →

Registry record

NPI: 1083283311
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2021
Record last updated: 21 Jun 2021

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.