Provider Demographics
NPI:1497818678
Name:THRUSH, DEANNE GASKINS (PT)
Entity Type:Individual
Prefix:
First Name:DEANNE
Middle Name:GASKINS
Last Name:THRUSH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DEANNE
Other - Middle Name:BEVERLY
Other - Last Name:GASKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:223 RASPBERRY RD
Mailing Address - Street 2:
Mailing Address - City:LEOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17540-2215
Mailing Address - Country:US
Mailing Address - Phone:717-656-9469
Mailing Address - Fax:
Practice Address - Street 1:223 RASPBERRY RD
Practice Address - Street 2:
Practice Address - City:LEOLA
Practice Address - State:PA
Practice Address - Zip Code:17540-2215
Practice Address - Country:US
Practice Address - Phone:717-656-9469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009488L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist