Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BRUCE GIBSON, DPT
Active Sole ProprietorKELLY BRUCE GIBSON, DPT is a Physical Therapy Assistant healthcare provider located in PARMA, Ohio. NPI 1811521172 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PARMA, OH
Registration Details
- NPI Number
- 1811521172
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2020 (6.4656136368851 yrs)
- Last Updated
- Feb 26, 2020
- License
-
PT018276 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5520 BROADVIEW RD FRNTPARMA, OH, 441341606Browse OH providers · Browse ZIP 44134
- Phone
- 2167496650
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PARMA, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. AMANDA JOY VANDERVORT | MPT | 1174520712 |
| MRS. PATRICIA WILKES SAURETTE | LPT | 1669412169 |
| JENNIFER MARIE QUILL | PT | 1649296575 |
| MRS. KASEY JOHNSON | P.T. | 1801800255 |
| MS. SHANNON MANNING | P.T. | 1790799146 |
| MRS. CHRISTINE MARIE HILTS | — | 1144231127 |
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.