Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEN J GAILES, PT
Active Sole ProprietorKEN J GAILES, PT is a Physical Therapy Assistant healthcare provider located in HOLLANDALE, Mississippi. NPI 1881986453 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HOLLANDALE, MS
Registration Details
- NPI Number
- 1881986453
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2011 (15.259868617158 yrs)
- Last Updated
- Mar 8, 2021
- License
-
PT3460 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
117 EAST AVE SHOLLANDALE, MS, 387483811Browse MS providers · Browse ZIP 38748
- Phone
- 6016240350
- Fax
- 6016618457
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.