Todd A Gardner, PTA
Physical Therapy Assistant in West Bountiful, UT. Individual provider (NPI-1).
NPI number1285963777
StatusActive
Last updated in NPPESDec 14, 2009
Details
- NPI
- 1285963777
- Entity type
- Individual (NPI-1)
- Name
- Mr. Todd A Gardner
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2009
- Last updated
- Dec 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2852642402 | UT | Yes |
| 225200000X | Physical Therapy Assistant | PTA-266 | ID |
Practice location
2233 North 830 WestWest Bountiful, UT 84087
Phone 801-916-6566 · Fax 801-295-6568
Mailing address
2233 North 830 WestWest Bountiful, UT 84087
Phone 801-916-6566 · Fax 801-295-6568
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