Coleen Renee Gibson, LMT

NPI #1003126905 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1003126905
Entity Type: Individual
Name: Coleen Renee Gibson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 14, 2010
Last Updated: Oct 14, 2010

Practice Location

Address: 1606 KNOB HILL RD
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-9175
Phone: (270) 307-9325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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