Search › Wisconsin › 2255A2300X
Traci Gibb, ATC, LAT
NPI 1265830806 · on the registry since 2014
Practice
- Address
- W197n16960 Stonewall Dr
Jackson, WI 53037 - Phone
- (414) 750-9393
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin