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

MR. MARK H GIBSON, LAT, PT

Active Sole Proprietor

Physical Therapy Assistant · LA CROSSE, WI

Registration Details

NPI Number
1679646749
Provider Type
Individual
Gender
Male
NPI Issued
Nov 16, 2006 (19.430363673734 yrs)
Last Updated
Jun 17, 2008
Licenses
4707-024 (WI)
404-039 (WI)
Sole Proprietor
Yes

Practice Information

Address
1725 STATE ST
UNIV. OF WISCONSIN - LA CROSSE
LA CROSSE, WI, 546013742
Browse WI providers · Browse ZIP 54601
Phone
6087858190
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Athletic Trainer

Other Physical Therapy Assistant Providers in LA CROSSE, WI

Name Credential NPI
KRISTEN F BRINKS PT 1619971371
PAUL F REUTEMAN PT 1629072004
GEORGE J DAVIES PT 1053316299
DIANE FLETCHER KLOS PT 1609871508
PAMELA J JOHNSON-STUHR PT 1063418499
HANNI R COWLEY PT 1013902402
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.