Individual
JANELLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
2831 FORT MISSOULA RD, BUILDING 2, SUITE 232, MISSOULA, MT 59804-7479
(406) 200-8488
(406) 213-3518
Mailing address
179 FAIRWAY DR, MISSOULA, MT 59803-2404
(806) 236-3124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0013541
CO
225100000X
Physical Therapist
1262305
TX
225100000X
Physical Therapist
Primary
19266
MT
Other
Enumeration date
08/12/2015
Last updated
11/07/2021
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