Eartha Gibson, LMT

NPI #1609192392 in Shelbyville, Kentucky

Provider Information

NPI Number: 1609192392
Entity Type: Individual
Name: Eartha Gibson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Mechanotherapist
Credential: LMT
Enumeration Date: Apr 20, 2010
Last Updated: Apr 20, 2010

Practice Location

Address: 60 STONECREST CT
Address 2: SUITE 140
City: Shelbyville
State: Kentucky
ZIP Code: 40065-8155
Phone: (502) 647-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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