Individual
JESSICA LEE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2900 S DANVILLE BYP STE 110, DANVILLE, KY 40422-2464
(859) 209-2049
(859) 209-2253
Mailing address
383 CORBIN CENTER DR, CORBIN, KY 40701-1895
(606) 526-2911
(606) 526-2901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008419
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008419
STATE LICENSE
KY
Enumeration date
11/03/2021
Last updated
11/03/2021
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