Individual
TIMOTHY J GIBBS
Active
Individual
TIMOTHY J GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS, CERT. MDT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1141PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049348
—
MT
01
—
BCBS OF MT
PROVIDER NUMBER
MT
01
—
MT STATE FUND
PROVIDER NUMBER
MT
01
—
P00380494
RAILROAD MEDICARE
MT
01
—
WA STATE COMP FUND
PROVIDER # FOR WA PATIENT
MT
Enumeration date
10/14/2005
Last updated
01/26/2012
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