National Provider Identifier

Myranda Gumtow, PT

Myranda Gumtow, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Hornell, NY and a listed phone number of (607) 324-9344.

NPI 1235618802Hornell, NYPhysical Therapist

Profile Overview

NPI
1235618802
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 14, 2018
Last Updated
November 27, 2019

Practice Location

  • 100 Loder St Ste 105
  • Hornell, NY 14843-1957

Phone: (607) 324-9344

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1235618802
Entity Type
Individual
Last Name
Gumtow
First Name
Myranda
Credential
PT
Provider Other Last Name
Garfield
Provider Other First Name
Myranda
Provider Other Credential Text
PT
Provider Other Last Name Type Code
1
Mailing Street Address
100 Loder St Ste 105
Mailing City
Hornell
Mailing State
NY
Mailing ZIP Code
14843-1957
Mailing Country
US
Mailing Phone
(607) 324-9344
Mailing Fax
(607) 324-9345
Practice Street Address
100 Loder St Ste 105
Practice City
Hornell
Practice State
NY
Practice ZIP Code
14843-1957
Practice Country
US
Practice Phone
(607) 324-9344
Practice Fax
(607) 324-9345
Enumeration Date
August 14, 2018
Last Updated
November 27, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)