Todd A Gardner PTA

NPI 1285963777 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1285963777
Gender Male
Enumeration Date 12/14/2009
Last Updated 12/14/2009
Entity Type Individual
Active Over 6 years ago
Practice Location
2233 NORTH 830 WEST
WEST BOUNTIFUL UT, 84087, US
Phone (801) 916-6566
Fax (801) 295-6568
Business Location
2233 NORTH 830 WEST
WEST BOUNTIFUL UT, 84087, US
Phone (801) 916-6566
Fax (801) 295-6568
Toxanomy
Taxonomy Code 225200000X
License State Idaho
License Number PTA-266
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According to our database, Mr. Todd A Gardner PTA NPI is 1285963777, taxonomy code is 225200000X and license number is PTA-266, license state is located at Idaho. Todd A Gardner PTA physically located at 2233 North 830 West, West Bountiful UT, 84087. NPI Number Todd A Gardner PTA has the Individual type.

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1285963777 NPI number is provided on an as is basis without warranty of any kind. 1285963777 is maintained by the National Plan & Provider Enumeration System. The contents of Todd A Gardner PTA are for informational purposes only.