Gibson, Tracy

Gibson, Tracy is an sole proprietor health care provider with primary practice located at 3345 Tori Trail Ln , West Paducah KY 42086-9859. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Gibson, Tracy can be contacted via phone (270) 562-2065.

Contact Information

Primary practice address
3345 Tori Trail Ln West Paducah KY 42086-9859
Phone: (270) 562-2065
Fax: (270) 534-5036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1194930867
LBN Legal business name Gibson, Tracy
Credentials D.I.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Jun 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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