Russell Jack Gatenby, PT

NPI #1134241904 in American Fork, Utah

Provider Information

NPI Number: 1134241904
Entity Type: Individual
Name: Russell Jack Gatenby, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1184 E 80 N
City: American Fork
State: Utah
ZIP Code: 84003-2906
Phone: (801) 756-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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