Linda I Gibbens, ATC, LAT

NPI #1730217225 in Caldwell, Idaho

Provider Information

NPI Number
1730217225
Entity Type
Individual
Name
Linda I Gibbens, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Feb 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2112 CLEVELAND BLVD
State
Idaho
ZIP Code
83605-4432
Phone
(208) 459-5873

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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