Individual
MARGY GAYLE GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT542
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100835200A
—
OK
01
—
650016749
RR MEDICARE
OK
01
—
731194955001
BCBS
OK
01
—
9748
BLUE LINCS HMO
OK
01
—
A003
TRICARE
OK
Enumeration date
09/09/2005
Last updated
10/29/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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