Provider Demographics
NPI:1356064307
Name:GUENTHER, GILEN (DPT)
Entity type:Individual
Prefix:
First Name:GILEN
Middle Name:
Last Name:GUENTHER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30856 AGOURA RD APT D6
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4306
Mailing Address - Country:US
Mailing Address - Phone:818-568-5893
Mailing Address - Fax:
Practice Address - Street 1:2488 TOWNSGATE RD STE C
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-6113
Practice Address - Country:US
Practice Address - Phone:805-910-9913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA302936225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist