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Jacob Gibson
NPI 1366060956 · on the registry since 2020 · sole proprietor
Practice
- Address
- 245 N 3rd E
Mountain Home, ID 83647 - Phone
- (208) 587-8255
- Fax
- (208) 587-4475
- Organisation at this address
- Advanced Therapy Care Pllc
Advanced Therapy Care, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Additional practice sites
- 68 S Baltic Pl, Meridian, ID
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Sex
- Male
- Record last updated
- 2020-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho