MEDICARE: ABBY LYN GIBBS NGUYEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT113326	TX

General Provider Information

NPI Number	:	1780453829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY LYN GIBBS NGUYEN

Provider Business Mailing Address
First Line	:	11901 SWEARINGEN DR APT 39
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-2253
Country	:	US
Telephone Number	:	607-216-7783
Fax Number	:

Provider Business Practice Location Address
First Line	:	11901 SWEARINGEN DR APT 39
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-2253
Country	:	US
Telephone Number	:	607-216-7783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2024
Last Update Date	:	01/01/2024

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Directions to “ ABBY LYN GIBBS NGUYEN ” Practice Location

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