Provider Demographics
NPI:1285114371
Name:GUTOWSKI, LINDA OWENS (DPT)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:OWENS
Last Name:GUTOWSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 FLEMING ST STE A
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3546
Mailing Address - Country:US
Mailing Address - Phone:828-698-3489
Mailing Address - Fax:828-698-3490
Practice Address - Street 1:828 FLEMING ST STE A
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3546
Practice Address - Country:US
Practice Address - Phone:828-698-3489
Practice Address - Fax:828-698-3490
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP15240225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist