Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRIS LEVON GATHERS, CERTIFIED HAIR LOSS
Active Sole ProprietorIRIS LEVON GATHERS, CERTIFIED HAIR LOSS is a Physical Therapist Assistant healthcare provider located in PORT ST JOE, Florida. NPI 1235628637 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · PORT ST JOE, FL
Registration Details
- NPI Number
- 1235628637
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2018 (8.3068338422874 yrs)
- Last Updated
- May 2, 2018
- License
-
L1709270000753 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 REID AVEPORT ST JOE, FL, 324561824Browse FL providers · Browse ZIP 32456
- Phone
- 8502294247
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.