Provider Demographics
NPI:1831508076
Name:GILBERT, FRANCES CARRENE (ATC)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:CARRENE
Last Name:GILBERT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-3406
Mailing Address - Country:US
Mailing Address - Phone:817-343-9046
Mailing Address - Fax:
Practice Address - Street 1:204 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-3604
Practice Address - Country:US
Practice Address - Phone:817-343-9046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0020462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer