Susan Gibson , LMT
Massage Therapist • Stuart, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Susan Gibson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Susan Gibson, LMT was a registered Massage Therapist practicing in Stuart, FL. Throughout an active medical career spanning 6 years, Susan Gibson provided care at the practice location at 5143 SE BLUE HERON LN until profile deactivation on 2022-06-22.
Practice Location & Contact Primary Location
5143 Se Blue Heron Ln
Stuart, FL 349973314
Specialty Benchmarks & Practice Insights
Comparative analytics for Massage Therapist in Stuart, FL
Practicing in Stuart, FL (7145 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 225700000X
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 22, 2022
NPI status registered as active in NPPES database
Registered at 5143 SE BLUE HERON LN, STUART, FL 349973314 (Tel: 7725300093)
Registered at 611 SW FEDERAL HWY, STUART, FL 349942925 (Tel: 7725300093)
Recorded as SUSAN GIBSON, LMT
Massage Therapist (License #20318 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
611 Sw Federal Hwy
Stuart, FL 349942925
Phone: 7725300093
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