Provider Demographics
NPI:1982962635
Name:MCCORKINDALE, GAIL B (PT, DPT)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:B
Last Name:MCCORKINDALE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 CLAYCOMB RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787-1238
Mailing Address - Country:US
Mailing Address - Phone:402-833-8479
Mailing Address - Fax:
Practice Address - Street 1:118 W 3RD ST
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787-1915
Practice Address - Country:US
Practice Address - Phone:402-369-2773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE938225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist