Individual
GREG GATZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 S TEMPLE DR, DIBOLL, TX 75941-2725
(877) 252-4469
Mailing address
2515 SOPHIE LN # 2, NACOGDOCHES, TX 75964-1453
(936) 697-3359
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2109776
TX
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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