Individual provider · Type 1 NPI

Amy Gibson, ATC LAT

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1356759393 Active

Practice location

7050 S 24th St
Phoenix, AZ 85042-5806

Call (602) 243-8232 Map

Mailing address

4776 E Guadalupe Rd, Apt 2045
Gilbert, AZ 85234-7501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X1299 (AZ)

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 1356759393

Amy Gibson, ATC LAT's National Provider Identifier is 1356759393, issued on Jul 22, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 22, 2014.