Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GORDON R ESTLACK, MPT
ActiveGORDON R ESTLACK, MPT is a Physical Therapy Assistant healthcare provider located in LIMA, Ohio. NPI 1750609624 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LIMA, OH
Registration Details
- NPI Number
- 1750609624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2010 (16.25046281431 yrs)
- Last Updated
- Nov 15, 2018
- License
-
PT012580 (OH)
Practice Information
- Address
-
801 MEDICAL DR STE ALIMA, OH, 458044030Browse OH providers · Browse ZIP 45804
- Phone
- 4192226622
- Fax
- 4192240015
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LIMA, OH
| Name | Credential | NPI |
|---|---|---|
| SARA L BENDER | DPT PT | 1528041795 |
| RAYMOND ANTHONY ASCHETTINO | P.T. | 1356400709 |
| MRS. JENNIFER ANN SMITH | PHYSICAL THERAPIST | 1124181888 |
| MRS. NANCY KATHERINE SIATKOSKY | P.T. | 1891827366 |
| CHRISTOPHER JOSEPH FORTMAN | MPT | 1487779567 |
| AMY M EDWARDS | PT | 1649495102 |
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.