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Contact Information

EARTHA GIBSON, LMT
60 STONECREST CT
SUITE 140
SHELBYVILLE, KY40065-8155
 Phone: 502-647-4600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for EARTHA GIBSON · (Female)

NPI Number 1609192392
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 04/20/2010
Last updated 04/20/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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