Individual
JEFFREY DAVID GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
165 NATCHEZ TRACE AVE STE 200, BOWLING GREEN, KY 42103-7947
(270) 796-4698
(270) 782-3274
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1742
(270) 796-4698
(270) 782-3274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004842
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
375713
ANTHEM
KY
01
—
532436
ANTHEM
KY
05
—
87001822
—
KY
Enumeration date
09/15/2005
Last updated
05/12/2022
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