Individual
MCKENZIE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 SUNBURY RD, COLUMBUS, OH 43219-2086
(614) 251-4500
Mailing address
881 S HAGUE AVE, COLUMBUS, OH 43204-2305
(614) 596-6600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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