Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Bolden, RKT

Individual provider Kinesiotherapist · NPI 1033167754

Gary Bolden, RKT is a Kinesiotherapist in Washington, District of Columbia. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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Practice location Address checks out

25 M St SW Third Fl (3RD.) S.w
Washington, DC 20024-3621
Phone: (817) 361-0602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Kinesiotherapist (primary) Taxonomy 226300000X · Licence 1469 (IL)

Record details

NPI number1033167754
Entity typeIndividual (Type 1)
GenderMale
Credentials RKT
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESOctober 19, 2007

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