Provider Demographics
NPI:1174148209
Name:GERRER, DAVID BERNARD (PT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:BERNARD
Last Name:GERRER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 GREENVILLE HWY STE 8&9
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-6456
Mailing Address - Country:US
Mailing Address - Phone:828-674-3416
Mailing Address - Fax:
Practice Address - Street 1:1527 GREENVILLE HWY STE 8&9
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-6456
Practice Address - Country:US
Practice Address - Phone:828-674-3416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP6138225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist