Pt West PC

NPI #1245323831 in Gordon, Nebraska

Provider Information

NPI Number: 1245323831
Entity Type: Organization
Organization Name: Pt West PC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 2, 2006
Last Updated: May 19, 2008

Practice Location

Address: 100 S MAIN
City: Gordon
State: Nebraska
ZIP Code: 69343-1618
Phone: (308) 282-0203

Authorized Official

Name: KIMBERLY J MARLATT, PT ATC
Title: PRESIDENT
Phone: (308) 282-0203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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