Individual
KAY GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 CHARIC DR, WILDWOOD, MO 63021-2001
(636) 394-2522
Mailing address
509 E STONE ST, DE SOTO, MO 63020-2241
(131) 422-3424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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