JACOB GIBSON
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1366060956- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 245 N 3RD E, MOUNTAIN HOME, ID, 836472734
- Phone
- (208) 587-8255
- Fax
- (208) 587-4475
Specialties & Taxonomies
Physical Therapist
Primary #PT-6700