NPI 1003126905

Coleen Renee Gibson, LMT

Practitioner Massage Therapist Elizabethtown, KY

Practice location

Address: 1606 Knob Hill Rd, Elizabethtown, KY 42701-9175
Phone: (270) 307-9325

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence KY-0992 (KY)

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Registry record

NPI: 1003126905
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2010
Record last updated: 14 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.