Individual
MR. BRYAN SMITH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
738 S 600 E, SALT LAKE CITY, UT 84102-3306
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
2251C2600X
Cardiopulmonary Physical Therapist
Primary
49166480-2401
UT
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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