Individual
KAITLIN MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6854 HAWTHORN PARK DR, INDIANAPOLIS, IN 46220-3909
(317) 426-9448
Mailing address
1034 SHANNON AVE, INDIANAPOLIS, IN 46201-2316
(317) 903-9357
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT22007292
IN
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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