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Jeremy Gall, ATC
NPI 1063409332 · on the registry since 2005
Practice
- Address
- 3701 Carroll Rd
Fort Wayne, IN 46818 - Phone
- (260) 637-3161
- Clinicians at this address
- 2
Additional practice sites
- 10106 Dupont Circle Dr E, Fort Wayne, IN
- 7601 W Jefferson Blvd, Fort Wayne, IN
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2081S0010X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana