COLEEN RENEE GIBSON (NPI# 1003126905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003126905 |
| Entity Type | Individual |
| Full Name | COLEEN RENEE GIBSON |
| Credential | LMT |
| Practice Address |
1606 Knob Hill Rd Elizabethtown KY 42701-9175 |
| Practice Telephone | 2703079325 |
| Mailing Telephone | 2703079325 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | KY-0992 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1606 KNOB HILL RD |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-9175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1265804983 | Jade Conrad | Massage Therapist | 100 Tallyho Way, Elizabethtown, KY 42701-7829 | 2015-10-21 |
| 1578842837 | Andrea Beth English | Massage Therapist | 404 Starlite Dr, Elizabethtown, KY 42701-4425 | 2011-08-04 |
| 1831221340 | Anne M Deville | Massage Therapist | 522 Bewley Blvd, Elizabethtown, KY 42701-7104 | 2007-03-10 |
| 1770064834 | Kelly Kohler | Massage Therapist | 3044 Ring Rd, Elizabethtown, KY 42701-7932 | 2018-08-27 |
| 1750884482 | Cathreine Renee Fisk | Massage Therapist | 620 Westport Rd Ste A, Elizabethtown, KY 42701-4408 | 2018-03-08 |
| 1336664457 | Raja Wellness, LLC | Massage Therapist | 3044 Ring Rd, Elizabethtown, KY 42701-7932 | 2017-08-09 |
| 1447417845 | Ruth Ellen Edlin | Massage Therapist | 120 Helmwood Plaza Dr, Suite 103, Elizabethtown, KY 42701-2479 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312589 | Jorden E. Duvall | Massage Therapist | 703 W Ashland Ave, Louisville, KY 40215-2403 | 2020-10-07 |
| 1588261424 | Jennifer Coleman | Massage Therapist | 855 Lovers Ln Ste 104, Bowling Green, KY 42103-7989 | 2020-10-05 |
| 1205433323 | Audrey M Murphy | Massage Therapist | 214 S Washington St, Albany, KY 42602-1226 | 2020-10-01 |
| 1538766787 | Talina Rene Loren | Massage Therapist | 1340 S 3rd St Apt 217, Louisville, KY 40208-2332 | 2020-10-01 |
| 1033726146 | Erica Laaker | Massage Therapist | 3914 Highway 22 W, Falmouth, KY 41040-7005 | 2020-09-23 |
| 1972119238 | Phoebe Rae Salyers | Massage Therapist | 5219 Eureka Dr, Taylor Mill, KY 41015-2107 | 2020-09-21 |
| 1114532579 | Megan Trodglen | Massage Therapist | 3607 Ethelwood Dr, Louisville, KY 40299-3339 | 2020-09-12 |
| 1477166783 | Victoria Newman | Massage Therapist | 543 N 44th St, Louisville, KY 40212-2710 | 2020-08-26 |
| 1013529858 | Amber Nicole Squires | Massage Therapist | 2044 Midland Ave Apt 2, Louisville, KY 40204-2287 | 2020-08-22 |
| 1710599865 | Jessica D Boyd | Massage Therapist | 10102 Summit Park Pl Apt 201, Louisville, KY 40241-3833 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.