LAKRISTIE RESHELLE GAMBLE
NPI 1366145419
Prosthetic/Orthotic Supplier in Dallas, TX

Active since March 27, 2023
9763 AUDELIA RD APT 1211, DALLAS, TX 75238(469) 478-1786 Get Directions Write a Review

NPPES record last updated: May 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 6, 2023, Apr 9, 2023, Mar 27, 2023 (3 updates tracked since 2023).

About Lakristie Reshelle Gamble NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKRISTIE RESHELLE GAMBLE (NPI 1366145419) is an individual prosthetic/orthotic supplier provider in Dallas, Texas and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1366145419
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameLAKRISTIE RESHELLE GAMBLE
Location Address9763 AUDELIA RD APT 1211Dallas, TX 75238-2004
Mailing Address9763 Audelia Rd Apt 1211Dallas, TX 75238-2004 · (469) 478-1786
Sole ProprietorYes
Enumeration DateMarch 27, 2023
Last NPPES UpdateMay 6, 20233 updates tracked since enumeration
NPPES CertifiedMay 6, 2023
NPI 1366145419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
9763 AUDELIA RD APT 1211, Dallas, TX 75238

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366145419, enumerated as an "individual" on March 27, 2023.

The provider is located at 9763 AUDELIA RD APT 1211 DALLAS, TX 75238 and the phone number is (469) 478-1786.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.