Individual
KOURTNEY GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
2669 S DIXIE DR, DAYTON, OH 45409-1504
(937) 643-0893
Mailing address
2669 S DIXIE DR, DAYTON, OH 45409-1504
(937) 643-0893
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004352
OH
Other
Enumeration date
11/18/2016
Last updated
05/02/2019
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