Gardner, Misty D
Gardner, Misty D is an sole proprietor health care provider with primary practice located at 1333 W 5Th St Suite 203, Sheridan WY 82801-2752. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gardner, Misty D can be contacted via phone (307) 752-9335.Contact Information
Primary practice address
1333 W 5Th St Suite 203
Sheridan WY 82801-2752
Phone: (307) 752-9335
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1154 | Wyoming |
Profile Details
| NPI number | 1215942099 |
|---|---|
| LBN Legal business name | Gardner, Misty D |
| Credentials | MS, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Dec 5th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215942099 | NPPES |
| Wyoming | MEDICAID | 123365300 |
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