Individual
DEBBIE DIANE GATLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3918 NW PONDEROSA ST, LEES SUMMIT, MO 64064-1465
(417) 300-5807
Mailing address
3918 NW PONDEROSA ST, LEES SUMMIT, MO 64064-1465
(417) 300-5807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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