IndividualActive
Andrew Gibson, DPT
NPI 1336685015 · Physical Therapist · Moline, IL
Provider details
- NPI number
- 1336685015
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 070-022821 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
850 43rd Ave
Suite 100
Moline, IL 61265-8401
Phone: (309) 743-2070
Fax: (309) 743-2073
Approximate (ZIP-level) locationGet directions
Mailing address
850 43rd Ave
Moline, IL 61265-8401
Registry dates
- Enumerated
- 2017-01-18
- Last updated
- 2017-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.