Most Relevant Information
Provider Data
  | NPI Number: | 1003346586 | 
| Provider Name: | EMILEE BROOKE GISLER | 
| Entity Type: | Individual | 
| Taxonomy Code: | 225200000X | 
| Specialty: | Physical Therapy Assistant | 
| License Number: | P160640141 | 
Most Important Dates
  | Enumeration Date: | 06/15/2017 | 
| Last Updated: | 06/15/2017 | 
Provider Practice Location
  151 BUENA VISTA DR
      
      COLVILLE
      WA
      991148676
  Practice Location Phone/Fax
      | Phone: | 5096844539 | 
| Fax: | 
Provider Mailing Location
  927 N MAPLE ST
      
      COLVILLE
      WA
      991143143
  Provider Mailing Phone/Fax
      | Phone: | 5096805196 | 
| Fax: |