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

Gayle Donette Bridgham, PT

Individual provider Physical Therapist · NPI 1255056800

Gayle Donette Bridgham, PT is a Physical Therapist in Town and Country, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2022.

Licensed in
IL, MO
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

13550 S Outer 40 Rd
Town and Country, MO 63017-5812
Phone: (314) 878-1330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070006463 (IL)
Physical Therapist Taxonomy 225100000X · Licence 2021018958 (MO)

Record details

NPI number1255056800
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 6, 2022
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

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