| Doctor Name: | SUSAN KRISTY GIBBONS |
| NPI Number: | 1598096133 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT 00008044 |
| Business Practice Address: | 1495 Nw Gilman Blvd Suite 4 Issaquah, WA - 980278975 |
| Business Phone Number: | 4253941200 |
| Business Fax Number: | |
| Mailing Address: | 7970 E Mercer Way, MERCER ISLAND |
| State: | WA |
| Postal Code: | 980405824 |
| Phone Number: | 2062754074 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2010 |
| NPI Last Update Date: | 01/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 00008044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |