Individual
CHRISTOPHER DAVID GELLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MMUSCSPORTS CSCS
Contact information
Practice address
123 WATERHOUSE RD, BOURNE, MA 02532-3890
(508) 743-7215
(774) 247-4397
Mailing address
168 INDUSTRIAL DR, MASHPEE, MA 02649-3561
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
20094
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021490E71
MEDICARE INDIVIDUAL PTAN
MA
Enumeration date
11/22/2006
Last updated
07/01/2021
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