Provider Demographics
NPI:1346274479
Name:GALE, DON (PT)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:
Last Name:GALE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7513 W KENNEWICK AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7764
Mailing Address - Country:US
Mailing Address - Phone:509-735-4343
Mailing Address - Fax:509-736-5414
Practice Address - Street 1:7513 W KENNEWICK AVE
Practice Address - Street 2:SUITE A
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7764
Practice Address - Country:US
Practice Address - Phone:509-735-4343
Practice Address - Fax:509-736-5414
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002417225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA11003OtherL&I
WA8341141Medicaid
WA1055960147OtherBLUECROSS
WA8869669Medicare PIN