MEDICARE: EARTHA GIBSON LMT

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	172M00000X	Mechanotherapist

General Provider Information

NPI Number	:	1609192392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EARTHA GIBSON LMT

Provider Business Mailing Address
First Line	:	60 STONECREST CT
Second Line	:	SUITE 140
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-8155
Country	:	US
Telephone Number	:	502-647-4600
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 STONECREST CT
Second Line	:	SUITE 140
City	:	SHELBYVILLE
State	:	KY
Zip	:	40065-8155
Country	:	US
Telephone Number	:	502-647-4600
Fax Number	:

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

Provider Enumeration Date	:	04/20/2010
Last Update Date	:	04/20/2010

Similar Medicare Providers

1225050719 — D & D FREEDOM PSC
Practice Location Address:

60 STONECREST CT , SUITE 140
SHELBYVILLE, KY
40065-8155

Practice Phone: 502-647-4600
Practice Fax: 502-647-4607

1952841017 — DR. TAYEBA MINHAS IKRAM D.M.D.
Practice Location Address:

60 STONECREST CT , SUITE NUMBER 200
SHELBYVILLE, KY
40065-8155

Practice Phone: 502-633-1819
Practice Fax:

1427547108 — SARA DAVIS
Practice Location Address:

90 HOWARD DR
SHELBYVILLE, KY
40065-8138

Practice Phone: 502-633-1007
Practice Fax: 502-437-0624

1609705144 — JENAH PEYTON
Practice Location Address:

90 HOWARD DR
SHELBYVILLE, KY
40065-8138

Practice Phone: 502-233-9074
Practice Fax:

1356271571 — SEBASTIAN ORTHODONTICS PLLC
Practice Location Address:

2474 SHELBYVILLE RD
SHELBYVILLE, KY
40065-9118

Practice Phone: 502-513-5200
Practice Fax:

1649108721 — FELICIA RAYSOR
Practice Location Address:

213 MIDLAND BLVD
SHELBYVILLE, KY
40065-7791

Practice Phone: 502-647-0154
Practice Fax:

Directions to “ EARTHA GIBSON LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.