SearchWisconsinPhysical Therapy Assistant

Shawn Gardiner

NPI 1487021085 · on the registry since 2015 · sole proprietor

Practice

Address
3300 W Brewster St
Appleton, WI 54914
Phone
(920) 832-1657
Organisation at this address
County Of Outagamie
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin