Provider Demographics
NPI:1538991013
Name:GEHRKE, JESSIKA TYANN (DPT)
Entity type:Individual
Prefix:
First Name:JESSIKA
Middle Name:TYANN
Last Name:GEHRKE
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:JESSIKA
Other - Middle Name:
Other - Last Name:SHERRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:6050 TACOMA MALL BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-6828
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:317 E WACKERLY ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-7062
Practice Address - Country:US
Practice Address - Phone:989-832-9300
Practice Address - Fax:989-832-9301
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist