IndividualActive
Alan Gimmy, PTA
NPI 1083283311 · Physical Therapy Assistant · Marion, IL
Provider details
- NPI number
- 1083283311
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 160005863 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2401 W Main St
Marion, IL 62959-1188
Phone: (618) 751-0066
Approximate (ZIP-level) locationGet directions
Mailing address
6759 Day Rd
Carbondale, IL 62902-0497
Registry dates
- Enumerated
- 2021-06-21
- Last updated
- 2021-06-21
- Certified
- 2021-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.