MR. Fae Gibson, L.AC., LMT

NPI #1972168318 in Butler, Pennsylvania

Provider Information

NPI Number: 1972168318
Entity Type: Individual
Name: MR. Fae Gibson, L.AC., LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: L.AC., LMT
Enumeration Date: May 1, 2019
Last Updated: May 1, 2019

Practice Location

Address: 318 E JEFFERSON ST
City: Butler
State: Pennsylvania
ZIP Code: 16001-6009
Phone: (724) 498-6141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary
Massage Therapist	225700000X

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