Individual
KELLY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2525 WASHINGTON ST, PELLA, IA 50219-1553
(641) 628-6728
(641) 628-6727
Mailing address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5457
(651) 267-5946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
115408
IA
225100000X
Physical Therapist
28290
FL
225100000X
Physical Therapist
5501011076
MI
225100000X
Physical Therapist
7940
MN
Other
Enumeration date
01/02/2012
Last updated
03/08/2023
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