Provider Demographics
NPI:1386536423
Name:LAKES, GABRYELLA MARIE (DPT)
Entity type:Individual
Prefix:
First Name:GABRYELLA
Middle Name:MARIE
Last Name:LAKES
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 1:7330 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-7353
Mailing Address - Country:US
Mailing Address - Phone:317-460-6933
Mailing Address - Fax:
Practice Address - Street 1:25615 104TH AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7609
Practice Address - Country:US
Practice Address - Phone:253-872-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist