Individual
ADAM NEIL GULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2330 HOWARD AVE, CENTRALIA, WA 98531-3622
(360) 807-4230
Mailing address
2330 HOWARD AVE, CENTRALIA, WA 98531-3622
(360) 807-4230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008547
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8333346
—
WA
Enumeration date
11/21/2005
Last updated
06/01/2021
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