Individual
BRIAN GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SRT. CMT
Contact information
Practice address
21151 S WESTERN AVE SUITE 229, TORRANCE, CA 90501
(562) 533-0379
Mailing address
12712 OLAND ST, NORWALK, CA 90650-7335
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13259
CA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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