CLARENCE GIBSON
NPI 1619854502
Massage Therapist in Woodbridge, VA
Active since August 20, 2025
About Clarence Gibson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARENCE GIBSON (NPI 1619854502) is an individual massage therapist in Woodbridge, Virginia and active in the NPI registry since August 2025.
NPPES Registry Identity
NPI1619854502
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCLARENCE GIBSON
Location Address2701 NEABSCO COMMON PL APT 127Woodbridge, VA 22191-4185
Mailing Address3514 Silver Park Dr Apt 1aSuitland, MD 20746-2939 · (202) 729-0682
Phone(202) 729-0682
Sole ProprietorYes
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1619854502 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
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.
2701 NEABSCO COMMON PL APT 127, Woodbridge, VA 22191
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619854502, enumerated as an "individual" on August 20, 2025.
The provider is located at 2701 NEABSCO COMMON PL APT 127 WOODBRIDGE, VA 22191 and the phone number is (202) 729-0682.
Massage Therapist with taxonomy code 225700000X.
