Individual
SHANNAH KAY GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2741 N SALISBURY ST, WEST LAFAYETTE, IN 47906-1499
(765) 463-7546
Mailing address
3218 N 775 W, WEST LAFAYETTE, IN 47906-9460
(219) 369-3046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004164A
IN
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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