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NPI Code Detail

MEDICARE: EMILEE BROOKE GISLER

MEDICARE: EMILEE BROOKE GISLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantP160640141WA

General Provider Information

NPI Number : 1003346586
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILEE BROOKE GISLER
Provider Business Mailing Address
First Line : 927 N MAPLE ST
Second Line :
City : COLVILLE
State : WA
Zip : 99114-3143
Country : US
Telephone Number : 509-680-5196
Fax Number :
Provider Business Practice Location Address
First Line : 151 BUENA VISTA DR
Second Line :
City : COLVILLE
State : WA
Zip : 99114-8676
Country : US
Telephone Number : 509-684-4539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2017
Last Update Date : 06/15/2017

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Directions to “ EMILEE BROOKE GISLER ” Practice Location

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