Individual
GABRIEL THEURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1660 HASLETT RD STE 4, HASLETT, MI 48840-8469
(517) 339-4050
Mailing address
1660 HASLETT RD STE 4, HASLETT, MI 48840-8469
(517) 339-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019132
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501019132
LICENSED
MI
Enumeration date
05/21/2019
Last updated
11/27/2023
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