Individual
JOSEPH MICHAEL GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
830 E 1ST ST, CRETE, NE 68333-3108
(402) 826-4325
Mailing address
830 E 1ST ST, CRETE, NE 68333-3108
(402) 826-4325
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1196
NE
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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