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Contact Information

TODD A GARDNER, PTA
2233 NORTH 830 WEST
WEST BOUNTIFUL, UT84087
 Phone: 801-916-6566
 Fax: 801-295-6568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for TODD A GARDNER · (Male)

NPI Number 1285963777
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 12/14/2009
Last updated 12/14/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PTA-266
  • UT License # 2852642402
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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