Individual provider · Type 1 NPI

Coleen Renee Gibson, LMT

Massage Therapist · Elizabethtown, KY

NPI number 1003126905 Active

Practice location

1606 Knob Hill Rd
Elizabethtown, KY 42701-9175

Call (270) 307-9325 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XKY-0992 (KY)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1003126905

Coleen Renee Gibson, LMT's National Provider Identifier is 1003126905, issued on Oct 14, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Elizabethtown, KY. The record was last updated on Oct 14, 2010.