NPI 1134676638

Darren Gibson

Practitioner Massage Therapist Kenai, AK

Practice location

Address: 1415 Obrien CT, Kenai, AK 99611-7601
Phone: (907) 202-2653

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 102173 (AK)

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Registry record

NPI: 1134676638
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2016
Record last updated: 1 Sep 2016

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.