MR. Jeremy R. Gall, ATC
NPI #1063409332 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1063409332
- Entity Type
- Individual
- Name
- MR. Jeremy R. Gall, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Oct 3, 2005
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 7601 W JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-4133
- Phone
- (260) 435-2620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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