Evan Gibson Baity Elliott Valid NPI

Individual provider · Physical Therapist · Battle Creek, MI

NPI

1366945545

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

5501016414 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2018-03-14

Last updated

2024-06-11