Individual
MRS. AMY M. GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
244 RIDGE RD., PISMO BEACH, CA 93449
(805) 534-3808
Mailing address
244 RIDGE RD., PISMO BEACH, CA 93449
(805) 534-3808
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88076
CA
Other
Enumeration date
01/06/2022
Last updated
01/26/2023
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