Individual
CODY GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 VIOLET ST STE 150, GOLDEN, CO 80401-6724
(303) 279-6000
Mailing address
251 VIOLET ST STE 150, GOLDEN, CO 80401-6724
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014011
CO
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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