Preston Alexander Gibbs
Individual provider Active NPI Athletic Trainer · Springdale, AR
NPI 1124583257 · NPPES record last updated Feb 2, 2019
Key facts
- NPI
- 1124583257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 2206 Christine St
Springdale, AR 72762-6527 - Phone
- (405) 312-9322
- NPI assigned
- Feb 2, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
2206 Christine St
Springdale, AR 72762-6527
Mailing address
2206 Christine St
Springdale, AR 72762-6527
Other providers in Springdale, AR
- Nancy Renee George
- Michael Anthony Gerardo
- Robert Steven Gershon
- Umbar Ghaffar
- Sarah Charlotte Gheen
- Mitchell L Gibson
- Steven Gideon
- Marci Gies
- Roselyn Gil-Acevedo
- Shakria Gilbert
All providers in Springdale, AR · Athletic Trainer in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.