Individual
JEFFREY WADE GATLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4-901 KUHIO HWY, STE A, KAPAA, HI 96746-1549
(808) 826-6000
(844) 965-9830
Mailing address
6300 HELENA LN, KAPAA, HI 96746-9107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2884
HI
225100000X
Physical Therapist
33374
CA
Other
Enumeration date
09/20/2007
Last updated
04/28/2017
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