Keri Lyn Gustavsen
Physical Therapist Physical Therapist - Orthopedic
100 Country Club Rd Ste 120
Argyle
, Texas 76226-2358
Keri Lyn Gustavsen
Physical Therapist Physical Therapist - Orthopedic
100 Country Club Rd Ste 120
Argyle
, Texas 76226-2358
(940) 464-7755
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Keri Lyn Gustavsen
- Po Box 372
- Argyle, TX
- Zip : 76226-0372
- Fax : (940) 464-7755
- Phone : (940) 464-0055
Second Address
- Keri Lyn Gustavsen
- 100 Country Club Rd Ste 120
- Argyle, TX
- Zip : 76226-2358
- Fax : (940) 464-7755
- Phone : (940) 464-0055
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1161526 | TX |
| N | 2251X0800X | Physical Therapist - Orthopedic | 1161526 | TX |
National Provider Identifier
| NPI | 1063444743 |
|---|---|
| Provider Name | Keri Lyn Gustavsen |
| First Address | Argyle, TX 76226-0372 |
| Second Address | Argyle, TX 76226-2358 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 04/11/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 825T48 | BCBS (01) | TX |
| P00852663 | MEDICARE RAILROAD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.