Individual
CHRISTINE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
2950 HEBRON PARK DR, HEBRON, KY 41048-8510
(210) 854-3808
Mailing address
PO BOX 671, HEBRON, KY 41048-0671
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
BMTMTH00218388
KY
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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