Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB GIBSON
Active Sole ProprietorJACOB GIBSON is a Physical Therapy Assistant healthcare provider located in MOUNTAIN HOME, Idaho. NPI 1366060956 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MOUNTAIN HOME, ID
Registration Details
- NPI Number
- 1366060956
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2020 (6.1007167375995 yrs)
- Last Updated
- Jul 9, 2020
- License
-
PT-6700
- Sole Proprietor
- Yes
Practice Information
- Address
-
245 N 3RD EMOUNTAIN HOME, ID, 836472734Browse ID providers · Browse ZIP 83647
- Phone
- 2085878255
- Fax
- 2085874475
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MOUNTAIN HOME, ID
| Name | Credential | NPI |
|---|---|---|
| SCOTT W SESSIONS | P.T. | 1225044019 |
| DAREN A STAFFORD | DPT | 1447431051 |
| DUSTIN K ELLIOTT | DPT | 1013354109 |
| VERONICA BALLEK | PT | 1790115731 |
| DANIEL EICHELE | — | 1376964759 |
| ANSON C CALL | DPT | 1215392204 |
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.