Individual provider · Type 1 NPI
Gavin Michael Gleason
Student in an Organized Health Care Education/Training Program · Brookston, IN
NPI number
1356203228
Active
Practice location
4125 N Springboro Rd
Brookston, IN 47923-7056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
| Athletic Trainer | 2255A2300X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Brookston
About NPI 1356203228
Gavin Michael Gleason's National Provider Identifier is 1356203228, issued on Dec 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brookston, IN. The record was last updated on Dec 1, 2025.