Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACY GIBSON, D.I.
Active Sole ProprietorMRS. TRACY GIBSON, D.I. is a Developmental Therapist healthcare provider located in WEST PADUCAH, Kentucky. NPI 1194930867 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · WEST PADUCAH, KY
Registration Details
- NPI Number
- 1194930867
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2007 (19.259448462075 yrs)
- Last Updated
- Jun 20, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
3345 TORI TRAIL LNWEST PADUCAH, KY, 420869859Browse KY providers · Browse ZIP 42086
- Phone
- 2705622065
- Fax
- 2705345036
- Primary Specialty
-
Developmental Therapist
222Q00000X
- Additional Specialty
- Developmental Therapist
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.