NPI 1477519874 · live from the CMS NPI Registry
Glen Raymond Akers, PT
Physical Therapist in Gresham, OR. National Provider Identifier 1477519874, active.
NPI record
| NPI | 1477519874 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 25500 Se Stark St, Suite 103, Gresham, OR 97030 |
| Practice phone | 503-328-0222 |
| Mailing address | Po Box 52194, Dept Code 961, Phoenix, AZ 85072 |
| Enumerated | April 25, 2006 |
| Last updated | November 13, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 5023 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.