Individual
JASON T GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
325 N LOCUST ST, SISTERS, OR 97759-5047
(828) 966-9036
(828) 966-4538
Mailing address
PO BOX 1911, SISTERS, OR 97759-1911
(541) 299-0294
(541) 549-1272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16796
NC
225100000X
Physical Therapist
Primary
60154
OR
Other
Enumeration date
02/12/2007
Last updated
09/11/2023
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