Physical Therapist
JACOB GIBSON
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1366060956 · enumerated 2020-07-09 · record updated 2020-07-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 245 N 3RD E, MOUNTAIN HOME, ID, 83647-2734 (208) 587-8255 Fax (208) 587-4475 Google Maps Apple Maps OpenStreetMap
- Practice location 245 N 3RD E, MOUNTAIN HOME, ID, 83647-2734 (208) 587-8255 Fax (208) 587-4475 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License PT-6700
In this directory
Locations and evidence
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Practice location
MOUNTAIN HOME, ID, 836472734
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.