Individual
MR. MARK ANTHONY GIBSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1028 E MAIN ST, MOREHEAD, KY 40351-1328
(606) 783-6919
(606) 783-6629
Mailing address
1028 EAST MAIN STREET, MOREHEAD, KY 40351-1328
(606) 783-6919
(606) 783-6629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005455
KY
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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