Individual
JACOB CHRISTOPHER GIBNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CEAS
Contact information
Practice address
450 LAUREL ST, DES MOINES, IA 50314-3045
(515) 323-6485
Mailing address
385 HILLSIDE DR, PLEASANT HILL, IA 50327-2337
(563) 468-7478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
092420
IA
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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