Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY THOMAS GILLUM, MPT
ActiveMR. JEFFREY THOMAS GILLUM, MPT is a 2251E1200X healthcare provider located in SAINT LOUIS, Missouri. NPI 1548235542 is currently active in the NPPES registry. Verify at CMS.
2251E1200X · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1548235542
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2006 (20.474934471493 yrs)
- Last Updated
- Mar 20, 2024
- Licenses
-
2001009684 (MO)2003004222 (MO)2001009684 (MO)
Practice Information
- Address
-
1 JEFFERSON BARRACKS DRSAINT LOUIS, MO, 631254181Browse MO providers · Browse ZIP 63125
- Phone
- 3146524100
- Primary Specialty
-
2251E1200X
2251E1200X
- Additional Specialty
- Environmental Modification (OT)
- Additional Specialty
- 2251E1200X
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.