Doctor Name: | CLAYTON ADAM GIBBONS |
NPI Number: | 1891829388 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 4563 |
Business Practice Address: | 852 Commerce Ave Longview, WA - 986322406 |
Business Phone Number: | 3605013750 |
Business Fax Number: | 3605013755 |
Mailing Address: | Po Box 3002, LONGVIEW |
State: | WA |
Postal Code: | 986320302 |
Phone Number: | 3604142000 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 09/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4563 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
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 |