Doctor Name: | MRS. MITZIE RENEE GIBBS |
NPI Number: | 1063698678 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT26261 |
Business Practice Address: | 9777 S Yosemite St Suite 110 Lone Tree, CO - 801243191 |
Business Phone Number: | 7205603083 |
Business Fax Number: | 8776138072 |
Mailing Address: | 9777 S Yosemite St, Suite 110 LONE TREE |
State: | CO |
Postal Code: | 801243191 |
Phone Number: | 7205603083 |
Fax Number: | 8776138072 |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 02/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT26261 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |