Doctor Name: | NATHAN GIBSON |
NPI Number: | 1053711903 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 9652 |
Business Practice Address: | 9333 Park West Blvd Suite 102 Knoxville, TN - 379234341 |
Business Phone Number: | 8654702696 |
Business Fax Number: | 8655888341 |
Mailing Address: | 1225 E Weisgarber Rd, Suite 200 KNOXVILLE |
State: | TN |
Postal Code: | 379092604 |
Phone Number: | 8655844747 |
Fax Number: | 8655841363 |
NPI Enumeration Date: | 08/28/2014 |
NPI Last Update Date: | 08/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9652 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |