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

Iris Levon Gathers, CERTIFIEDHAIRLOSS

Individual provider Prosthetics Case Management · NPI 1235628637

Iris Levon Gathers, CERTIFIEDHAIRLOSS is a Prosthetics Case Management in Port St Joe, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018

Practice location Address checks out

200 Reid Ave
Port St Joe, FL 32456-1824
Phone: (850) 229-4247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence L1709270000753 (FL)

Record details

NPI number1235628637
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTIFIEDHAIRLOSS
Sole proprietorYes
NPI enumeratedMay 2, 2018
Last updated in NPPESMay 2, 2018