Individual
GARRETT D GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
9053 ESTATE THOMAS, ST THOMAS, VI 00802
(340) 779-9355
Mailing address
100 W REMINGTON TER, RAYMORE, MO 64083-8521
(816) 935-1333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63704
OR
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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