Megan Gibson, DPT
Physical Therapist in Springfield, IL. Individual provider (NPI-1).
NPI number1164087185
StatusActive
Last updated in NPPESDec 5, 2019
Details
- NPI
- 1164087185
- Entity type
- Individual (NPI-1)
- Name
- Megan Gibson
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2019
- Last updated
- Dec 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225100000X | Physical Therapist | 070024809 | IL |
Other names
- Megan Sampson (Former Name)
Practice location
2201 W White Oaks DrSpringfield, IL 62704-6498
Phone 217-546-3301
Mailing address
269 Cypress PtPetersburg, IL 62675-9765
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