Individual provider · Type 1 NPI
Jack Gillingham, PT, DPT
Orthopedic Physical Therapist · Talent, OR
Practice location
288 S Pacific Hwy
Talent, OR 97540-6649
Mailing address
36 Hawthorne St
Medford, OR 97504-7114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Physical Therapist Primary | 2251X0800X | 65317 (OR) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
Another provider at this address
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About NPI 1548090004
Jack Gillingham, PT, DPT's National Provider Identifier is 1548090004, issued on Aug 7, 2024. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Talent, OR. The record was last updated on Aug 7, 2024.