IndividualActive
Brandon Gibson, DPT
NPI 1841952801 · General Acute Care Hospital · Antigo, WI
Provider details
- NPI number
- 1841952801
- Entity type
- Individual
- Primary specialty
- General Acute Care HospitalHospitals
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5501020235 (MI)
Specialties & taxonomies
Hospitals
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
112 E 5th Ave
Antigo, WI 54409-2710
Phone: (715) 623-9449
Approximate (ZIP-level) locationGet directions
Mailing address
6355 N US Highway 23
Spruce, MI 48762-9567
Additional practice locations (1)
- 6355 N US Highway 23Spruce, MI 48762-9567Phone: (989) 464-2704
Registry dates
- Enumerated
- 2021-10-07
- Last updated
- 2022-02-18
- Certified
- 2022-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.