Individual
MR. TYLER MONTANA GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1004 LEAWOOD DR, FRANKFORT, KY 40601-3349
(502) 223-7403
(502) 223-5016
Mailing address
1004 LEAWOOD DR, FRANKFORT, KY 40601-3349
(502) 223-7403
(502) 223-5016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007739
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007739
KENTUCKY BOARD OF PHYSICAL THERAPY
KY
Enumeration date
08/02/2019
Last updated
08/02/2019
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