MS. Tami Larae Gibson X, LMT
NPI #1063632685 in Selah, Washington
Provider Information
- NPI Number
- 1063632685
- Entity Type
- Individual
- Name
- MS. Tami Larae Gibson X, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Credential
- LMT
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 107 W NACHES AVE
- City
- Selah
- State
- Washington
- ZIP Code
- 98942-1323
- Phone
- (509) 945-9818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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