NPI 1013674795

Madison Katherine Gribben

Practitioner Physical Therapy Assistant Longmont, CO

Practice location

Address: 805 Summer Hawk Dr Unit Hh49, Longmont, CO 80504-8810
Phone: (262) 716-7178

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 0015087 (CO)

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Registry record

NPI: 1013674795
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2021
Record last updated: 17 Nov 2021

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.