Coleen Renee Gibson
Massage Therapist
1606 Knob Hill Rd
Elizabethtown
, Kentucky 42701-9175
Coleen Renee Gibson
Massage Therapist
1606 Knob Hill Rd
Elizabethtown
, Kentucky 42701-9175
(270) 307-9325
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Coleen Renee Gibson
- 1606 Knob Hill Rd
- Elizabethtown, KY
- Zip : 42701-9175
- Phone : (270) 307-9325
Second Address
- Coleen Renee Gibson
- 1606 Knob Hill Rd
- Elizabethtown, KY
- Zip : 42701-9175
- Phone : (270) 307-9325
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Is Coleen Renee Gibson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | KY-0992 | KY |
National Provider Identifier
| NPI | 1003126905 |
|---|---|
| Provider Name | Coleen Renee Gibson |
| First Address | Elizabethtown, KY 42701-9175 |
| Second Address | Elizabethtown, KY 42701-9175 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2010 |
| Last Update Date | 14/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.