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Contact Information

JENNIFER M GIBBS, MPT
1931 NW MULHOLLAND DR
ROSEBURG, OR97470
 Phone: 541-672-5795
 Fax: 423-602-2028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for JENNIFER M GIBBS · (Female)

NPI # 1427387380
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 12/23/2009
Last updated 04/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 26087
  • OR License # 3255
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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