Dale Robert Gibbs, DPT
Physical Therapist in Mountain Home, ID. Individual provider (NPI-1).
NPI number1407375405
StatusActive
Last updated in NPPESSep 12, 2017
Details
- NPI
- 1407375405
- Entity type
- Individual (NPI-1)
- Name
- Dale Robert Gibbs
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2017
- Last updated
- Sep 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT-5372 | ID | Yes |
Practice location
1005 W 6th SMountain Home, ID 83647-3339
Phone 208-587-1777 · Fax 208-587-1784
Mailing address
7550 W Emerald StBoise, ID 83704-9015
Phone 208-375-0666 · Fax 208-375-2996
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All 13 Physical Therapist providers in Mountain Home · All 275 providers in Mountain Home
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