NPI 1609192392

Eartha Gibson, LMT

Practitioner Mechanotherapist Shelbyville, KY

Practice location

Address: 60 Stonecrest CT Suite 140, Shelbyville, KY 40065-8155
Phone: (502) 647-4600

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X

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Registry record

NPI: 1609192392
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2010
Record last updated: 20 Apr 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.