Tracy Gibson in West Paducah - Developmental Therapist
Tracy Gibson - NPI 1194930867
Tracy Gibson is a Developmental Therapist in West Paducah, Kentucky. Tracy Gibson practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Tracy Gibson is 1194930867. The last update date is 2016-06-20.
Tracy Gibson's current location address is 3345 Tori Trail Ln, West Paducah, Kentucky. You can contact this provider via phone number 2705622065 and fax number 2705345036. The mailing address for Tracy Gibson is 3345 Tori Trail Ln, West Paducah, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Gibson |
|---|---|
| Address | 3345 Tori Trail Ln, West Paducah, Kentucky |
| Phone Number | 2705622065 |
| Fax Number | 2705345036 |
| Sole Proprietor | Y |
| Credentials | D.I. |
NPI Number Detail
| NPI Number | 1194930867 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2016-06-20 |
Provider Mailing Address Detail
| Address | 3345 Tori Trail Ln |
|---|---|
| City | West Paducah |
| State | Kentucky (KY) |
| Post Code | 420869859 |
| Phone Number | 2705622065 |
| Fax Number | 2705345036 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
Definition: 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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tracy Gibson by the Centers for Medicare & Medicaid Services?
The Tracy Gibson has been issued the NPI (National Provider Identifier) 1194930867 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Tracy Gibson is geographically located?
The Tracy Gibson is physically situated at the following location: 3345 Tori Trail Ln, West Paducah, KY, 420869859.
What is Tracy Gibson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracy Gibson's specialized field of practice is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 222Q00000X.
On what date did the Tracy Gibson receive its 1194930867 assignment from the Centers for Medicare & Medicaid Services?
The Tracy Gibson was assigned its 1194930867 by the Centers for Medicare & Medicaid Services on 2007-05-14.
As of what date was the information pertaining to Tracy Gibson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tracy Gibson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-06-20.
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