Gardner, Bryant Lee

Gardner, Bryant Lee is an individual health care provider with primary practice located at 3100 S Woodruff Ave , Idaho Falls ID 83404-8310. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gardner, Bryant Lee can be contacted via phone (208) 523-8879.

Contact Information

Primary practice address
3100 S Woodruff Ave Idaho Falls ID 83404-8310
Phone: (208) 523-8879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-9083 Idaho

Profile Details

NPI number 1346080462
LBN Legal business name Gardner, Bryant Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2024
Last updated May 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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