Kay Gibbs
Individual provider Active NPI Physical Therapy Assistant · Wildwood, MO
NPI 1508536855 · NPPES record last updated Sep 17, 2021
Key facts
- NPI
- 1508536855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 1441 Charic Dr
Wildwood, MO 63021-2001 - Phone
- (636) 394-2522
- NPI assigned
- Sep 17, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
1441 Charic Dr
Wildwood, MO 63021-2001
Mailing address
509 E Stone St
De Soto, MO 63020-2241
Phone (131) 422-3424
Other providers in Wildwood, MO
- Gabrielle Ann Ferranto
- Forefront Dermatology, S.C.
- Seth P Freedman
- Tayla Gatson
- Marc Alan Gerst Jr.
- Global Village Therapy, LLC
- Suzanne S. Golden
- Alana Goldstein Jacobs
- Keridan Gossrau
- Grace Home Healthcare, LLC
All providers in Wildwood, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2021. 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.