NPI 1881859866

Kristal Jean Gade, PTA

Practitioner Physical Therapy Assistant Scottsbluff, NE

Practice location

Address: 260407 Sea Gull Rd, Scottsbluff, NE 69361-6933
Phone: (402) 709-7467

Registered specialties (3)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 3664 (TN)

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Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA20612 (FL)

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 764 (NE)

Registry record

NPI: 1881859866
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2008
Record last updated: 18 Jul 2008

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.