Individual
KRISTAL JEAN GADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
260407 SEA GULL RD, SCOTTSBLUFF, NE 69361-6933
(402) 709-7467
Mailing address
260407 SEA GULL RD, SCOTTSBLUFF, NE 69361-6933
(402) 709-7467
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3664
TN
225200000X
Physical Therapy Assistant
764
NE
225200000X
Physical Therapy Assistant
PTA20612
FL
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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