Provider Demographics
NPI:1689140287
Name:GABEL PT PLUS WELLNESS LLC
Entity Type:Organization
Organization Name:GABEL PT PLUS WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND SOLE PT PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:F
Authorized Official - Last Name:GABEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CFMT
Authorized Official - Phone:414-350-1876
Mailing Address - Street 1:2236 BAXTER LN APT 5
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-8064
Mailing Address - Country:US
Mailing Address - Phone:414-350-1876
Mailing Address - Fax:
Practice Address - Street 1:7 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-4695
Practice Address - Country:US
Practice Address - Phone:414-350-1876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy