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Individual
GENTRY BRUCE ENSIGN
Active
Individual
GENTRY BRUCE ENSIGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, DO
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
225100000X
Physical Therapist
Primary
PT60736003
WA
225100000X
Physical Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
06/15/2026
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