Gauthier, Mitchell Robert
Gauthier, Mitchell Robert is an individual health care provider with primary practice located at 2419 Hwy 121 , Bedford TX 76021. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gauthier, Mitchell Robert can be contacted via phone (817) 540-4477.Contact Information
Primary practice address
2419 Hwy 121
Bedford TX 76021
Phone: (817) 540-4477
Fax: (817) 540-5633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 006043 | Connecticut |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1209690 | Texas |
Profile Details
| NPI number | 1376585760 |
|---|---|
| LBN Legal business name | Gauthier, Mitchell Robert |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Mar 18th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376585760 | NPPES |
| Texas | Other | 332086YTNB | MEDICARE PTAN |
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