Doctor Name: | MR. MARK ANTHONY GIBSON |
NPI Number: | 1174845259 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 005455 |
Business Practice Address: | 1028 E Main St Morehead, KY - 403511328 |
Business Phone Number: | 6067836919 |
Business Fax Number: | 6067836629 |
Mailing Address: | 1028 East Main Street, MOREHEAD |
State: | KY |
Postal Code: | 403511328 |
Phone Number: | 6067836919 |
Fax Number: | 6067836629 |
NPI Enumeration Date: | 02/17/2010 |
NPI Last Update Date: | 02/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 005455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |