Provider Demographics
NPI:1275811309
Name:GERIG, GAIL ANN
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:ANN
Last Name:GERIG
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:ANN
Other - Last Name:GERIG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:1180 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-1234
Mailing Address - Country:US
Mailing Address - Phone:719-473-3024
Mailing Address - Fax:719-687-9101
Practice Address - Street 1:1301 S 8TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-7335
Practice Address - Country:US
Practice Address - Phone:719-473-3024
Practice Address - Fax:719-687-9101
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1452225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist