Provider Demographics
NPI:1134499825
Name:GALE, JUDITH R (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:R
Last Name:GALE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 CALIFORNIA PLZ
Mailing Address - Street 2:DEPT OF PT, CREIGHTON UNIVERSITY
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68178-0001
Mailing Address - Country:US
Mailing Address - Phone:402-280-4590
Mailing Address - Fax:
Practice Address - Street 1:2500 CALIFORNIA PLZ
Practice Address - Street 2:CREIGHTON PT, HARPER CENTER, FITNEST LEVEL 1
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68178
Practice Address - Country:US
Practice Address - Phone:402-280-5675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1182225100000X
CA12249225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist