Individual
ROGER KEITH GURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1877 CHEROKEE AVE SW, CULLMAN, AL 35055-5547
(256) 727-1701
(256) 841-3142
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4967
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003017187
INDIVIDUAL NPI
AL
Enumeration date
05/29/2007
Last updated
07/21/2022
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