Individual
JESSICA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3964 GOODMAN RD E STE 105, SOUTHAVEN, MS 38672-8711
(662) 932-4625
Mailing address
81 SPRINGWALK RD, COLDWATER, MS 38618-5004
(901) 598-4084
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7954
MS
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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