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

NATHAN JOHN GIBSON, PT

Active

NATHAN JOHN GIBSON, PT is a Physical Therapy Assistant healthcare provider located in MARYVILLE, Illinois. NPI 1659502862 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MARYVILLE, IL

Registration Details

NPI Number
1659502862
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2009 (17.022916605625 yrs)
Last Updated
Aug 7, 2009
License
070017219 (IL)

Practice Information

Address
2086 VADALABENE DRIVE
MARYVILLE, IL, 62062
Browse IL providers · Browse ZIP 62062
Phone
6182887150
Fax
6182887160
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MARYVILLE, IL

Name Credential NPI
ERIC L WESSEL PT 1639175086
MS. DAWN L DRIESNER DPT 1740349679
SHARON L LAVELY PT 1689709347
DEE A. THIEMS PT 1861527442
CHRISTINE M. HAMBLIN PT 1568597201
MARY VAUGHN PT 1013042605
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.