Individual provider · Type 1 NPI

Taylor Gibson

Student in an Organized Health Care Education/Training Program · Rockford, IL

NPI number 1194324517 Active

Practice location

501 7th St
Rockford, IL 61104-1242

Call (815) 966-3100 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Speech-Language Pathologist 235Z00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194324517

Taylor Gibson's National Provider Identifier is 1194324517, issued on Oct 19, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockford, IL. The record was last updated on Oct 21, 2020.