Doctor Name: | MICHELLE KRISTINA GIBSON |
NPI Number: | 1184960940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT 28032 |
Business Practice Address: | 5860 College Rd Key West, FL - 330404314 |
Business Phone Number: | 3052964888 |
Business Fax Number: | |
Mailing Address: | Po Box 831, MADILL |
State: | OK |
Postal Code: | 734460831 |
Phone Number: | 5713348992 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2012 |
NPI Last Update Date: | 01/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 28032 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |