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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