Individual
EARTHA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
60 STONECREST CT, SUITE 140, SHELBYVILLE, KY 40065-8155
(502) 647-4600
Mailing address
60 STONECREST CT, SUITE 140, SHELBYVILLE, KY 40065-8155
(502) 647-4600
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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