Individual
OLIVIA GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1915 9TH AVE, ROCKFORD, IL 61104-3326
(815) 329-9522
Mailing address
1915 9TH AVE, ROCKFORD, IL 61104-3326
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
02/14/2026
Last updated
02/14/2026
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