Provider Demographics
NPI:1164828083
Name:GT MOBILITY & SERVICES LLC
Entity Type:Organization
Organization Name:GT MOBILITY & SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-491-8384
Mailing Address - Street 1:844 ONTARIO RD
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54311-8018
Mailing Address - Country:US
Mailing Address - Phone:920-491-8384
Mailing Address - Fax:920-491-8387
Practice Address - Street 1:844 ONTARIO RD
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54311-8018
Practice Address - Country:US
Practice Address - Phone:920-491-8384
Practice Address - Fax:920-491-8387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment