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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA GIBSON, DPT

Active

Physical Therapy Assistant · SOUTHAVEN, MS

Registration Details

NPI Number
1104619543
Provider Type
Individual
Gender
Female
NPI Issued
May 28, 2025 (0.91109695233092 yrs)
Last Updated
May 28, 2025
License
PT7954 (MS)

Practice Information

Address
3964 GOODMAN RD E STE 105
SOUTHAVEN, MS, 386728711
Browse MS providers · Browse ZIP 38672
Phone
6629324625
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SOUTHAVEN, MS

Name Credential NPI
CASEY B MCGHEE P.T. 1164425088
ADAM BROOKS RISINGER P.T. 1508869462
DR. AMY RENAE GRAHAM DPT 1467410969
MR. BRETT ALLEN RIVERS PT 1811928823
MRS. BARBARA BEARD BARNETT P.T. 1306852223
MICHAEL NEWTON PHILLIPS PT 1063520294
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.