National Provider Identifier
Garrett Gibson, PTA
Garrett Gibson, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Fredonia, NY and a listed phone number of (716) 672-4371.
Profile Overview
- NPI
- 1306364880
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- September 05, 2017
- Last Updated
- January 13, 2020
Practice Location
- 9520 Fredonia Stockton RD
- Fredonia, NY 14063-9518
Phone: (716) 672-4371
Mailing Address
- 3824 Route 394
- Ashville, NY 14710-9749
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1306364880
- Entity Type
- Individual
- Last Name
- Gibson
- First Name
- Garrett
- Credential
- PTA
- Mailing Street Address
- 3824 Route 394
- Mailing City
- Ashville
- Mailing State
- NY
- Mailing ZIP Code
- 14710-9749
- Mailing Country
- US
- Practice Street Address
- 9520 Fredonia Stockton RD
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-9518
- Practice Country
- US
- Practice Phone
- (716) 672-4371
- Enumeration Date
- September 05, 2017
- Last Updated
- January 13, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)