Individual
MS. LYNNETTE CAYCEE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1485 N TURQUOISE DR STE 220, FLAGSTAFF, AZ 86001-2000
(928) 774-6626
(928) 214-3277
Mailing address
1485 N TURQUOISE DR STE 220, FLAGSTAFF, AZ 86001-2000
(928) 774-6626
(928) 214-3277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8659
AZ
225100000X
Physical Therapist
PT60888704
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518296292
NPI
—
Enumeration date
12/09/2009
Last updated
10/29/2020
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