Individual
SARITA Y GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3538 MICHAEL AVE SW, WYOMING, MI 49509-3424
(616) 535-9226
Mailing address
3538 MICHAEL AVE SW, WYOMING, MI 49509-3424
(616) 535-9226
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7501008177
MI
225700000X
Massage Therapist
—
—
Other
Enumeration date
02/16/2016
Last updated
03/23/2025
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