Deborah J Gullic, PT, LAT, ATC is a
Specialist/technologist - Athletic Trainer based in Jefferson City, Missouri. Deborah J Gullic is licensed to practice in Missouri (license number 00193) and her current practice location is
3308 W Edgewood Dr, Jefferson City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 638-3400.
NPI number for Deborah J Gullic is 1407907645 and her current mailing address is 2622 Meadow View Dr, Jefferson City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407907645.
Healthcare Provider's Profile
| Full Name | Deborah J Gullic |
|---|
| Gender | Female |
|---|
| Speciality | Specialist/technologist - Athletic Trainer |
|---|
| Location | 3308 W Edgewood Dr, Jefferson City, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407907645
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Deborah J Gullic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407907645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 002246 (Missouri) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 00193 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deborah J Gullic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Deborah J Gullic, PT, LAT, ATC 2622 Meadow View Dr, Jefferson City, MO 65109-2129 Ph: () - | Deborah J Gullic, PT, LAT, ATC 3308 W Edgewood Dr, Jefferson City, MO 65109-6891 Ph: (573) 638-3400 |
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