Individual
DR. EISA WILLIFORD GEMEINHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3854 VILLAGE SEVEN RD, COLORADO SPRINGS, CO 80917-2801
(719) 574-8762
(719) 574-8236
Mailing address
1234 WHITEFISH STAGE, KALISPELL, MT 59901-2753
(406) 756-7878
(406) 309-2579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305205596
VA
225100000X
Physical Therapist
Primary
PTL.0014221
CO
2251P0200X
Pediatric Physical Therapist
5906
SC
Other
Enumeration date
08/20/2008
Last updated
12/14/2016
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