Individual provider · Type 1 NPI
Tracy Gibson, D.I.
Developmental Therapist · West Paducah, KY
Practice location
3345 Tori Trail Ln
West Paducah, KY 42086-9859
Fax (270) 534-5036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | None listed |
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
About NPI 1194930867
Tracy Gibson, D.I.'s National Provider Identifier is 1194930867, issued on May 14, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in West Paducah, KY. The record was last updated on Jun 20, 2016.