Individual
MR. KRISTIN RAYE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CLT, ATC
Contact information
Practice address
301 S BRYANT AVE, BLDG. B-100, EDMOND, OK 73034-5790
(405) 340-2019
(405) 340-4635
Mailing address
416 HERITAGE BLVD, EDMOND, OK 73003-2764
(405) 340-2019
(405) 340-4635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1487
OK
2255A2300X
Athletic Trainer
Primary
83
OK
Other
Enumeration date
05/22/2007
Last updated
09/11/2025
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