Misty D Gardner, MS, DPT | |
1333 W 5th St, Suite 203, Sheridan, WY 82801-2752 | |
(307) 752-9335 | |
Not Available |
Full Name | Misty D Gardner |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1333 W 5th St, Sheridan, Wyoming |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215942099 | NPI | - | NPPES |
123365300 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT1154 (Wyoming) | Primary |
Mailing Address | Practice Location Address |
---|---|
Misty D Gardner, MS, DPT Po Box 306, Big Horn, WY 82833-0306 Ph: (307) 752-9335 | Misty D Gardner, MS, DPT 1333 W 5th St, Suite 203, Sheridan, WY 82801-2752 Ph: (307) 752-9335 |
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