Organization
GIBSON PHYSICAL THERAPY
Active
Other names
Gibson Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAVIS GIBSON DPT (OWNER/PHYSICAL THERAPIST)
(931) 472-4203
Entity
Organization
Contact information
Practice address
1865 ASHLAND CITY RD STE A, CLARKSVILLE, TN 37043-6455
(931) 472-4203
Mailing address
1865 ASHLAND CITY RD STE A, CLARKSVILLE, TN 37043-6455
(931) 472-4203
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629362728
NPI 1 #
—
Enumeration date
12/02/2022
Last updated
12/02/2022
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