KENNETH GIBSON (NPI# 1336329770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336329770 |
| Entity Type | Individual |
| Full Name | KENNETH GIBSON |
| Credential | LMT, NCMMT |
| Practice Address |
1901 Brinson Rd Unit P-2 Lutz FL 33558-5176 |
| Practice Telephone | 8139496256 |
| Mailing Telephone | 8139496256 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA28530 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154520518 | Kenneth Marvin Gibson | Counselor | 2231 Broad Blvd, Cuyahoga Falls, OH 44223-1411 | 2007-07-16 |
| 1669503751 | Kenneth P. Gibson | Dentist | 1871 Ne 163rd St, North Miami Beach, FL 33162-4805 | 2007-03-08 |
| 1508379116 | Kenneth Gibson | Technician | 4327 4th St Se Apt 3, Washington, DC 20032-3387 | 2017-11-06 |
| 1457548067 | Kenneth Richard Gibson IIi | Psychologist | 18471 Haggerty Rd, Northville, MI 48168-8513 | 2007-09-27 |
| 1245241413 | Kenneth Wayne Gibson | Family Medicine | 124 E Main St, Hulbert, OK 74441-8902 | 2006-08-11 |
| Street Address |
1901 BRINSON RD UNIT P-2 |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-5176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| 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 |
|---|---|---|---|---|
| 1649550815 | Grand Oaks Massage Inc | Massage Therapist | 26314 Wesley Chapel Blvd, Lutz, FL 33559-7208 | 2011-08-19 |
| 1285961037 | Sandra Brooks | Massage Therapist | 19923 Jodi Dr, Lutz, FL 33558-5005 | 2009-11-13 |
| 1588804595 | Kimberlee Ann Motisi | Massage Therapist | 1537 Dale Mabry Hwy Ste 102, Lutz, FL 33548-3020 | 2009-03-03 |
| 1427200765 | Sophia Necker | Massage Therapist | 1900 Land O Lakes Blvd, Suite 119, Lutz, FL 33549-2943 | 2008-10-17 |
| 1386832616 | Linda Gail | Massage Therapist | 1401e 162nd Ave, Lutz, FL 33549-3551 | 2007-10-11 |
| 1891988655 | Christina M Segel | Massage Therapist | 108 Whitaker Rd, Lutz, FL 33549-5642 | 2007-08-23 |
| 1275654733 | Rochelle Cruz Allen | Massage Therapist | 19007 N Dale Mabry, Lutz, FL 33548 | 2007-04-03 |
| 1831709146 | Massage By Joyce, LLC | Massage Therapist | 1515 Dale Mabry Hwy Ste 102, Lutz, FL 33548-3023 | 2020-08-03 |
| 1609485036 | Joyce Ann Prahasky | Massage Therapist | 1515 Dale Mabry Hwy Ste 102, Lutz, FL 33548-3023 | 2020-07-31 |
| 1689933806 | Lynda Jean Myers | Massage Therapist | 20500 Cot Rd, Unit 526, Lutz, FL 33558-3800 | 2012-05-08 |
| Find all providers in LUTZ | ||||
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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.