Search › Illinois › 225100000X
Nathan Gibson, PT
NPI 1659502862 · on the registry since 2009
Practice
- Address
- 2086 Vadalabene Drive
Maryville, IL 62062 - Phone
- (618) 288-7150
- Fax
- (618) 288-7160
- Organisation at this address
- Rehab Missouri, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-07
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 Illinois