Provider Demographics
NPI:1740980168
Name:GIBBS, MEREDITH JEANNE
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:JEANNE
Last Name:GIBBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 ECHO HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-4139
Mailing Address - Country:US
Mailing Address - Phone:615-430-9686
Mailing Address - Fax:
Practice Address - Street 1:112 ECHO HILL BLVD
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-4139
Practice Address - Country:US
Practice Address - Phone:615-430-9686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer