Individual provider · Type 1 NPI

Courtney Gardner, PTA

Physical Therapy Assistant · Southgate, MI

NPI number 1740735109 Active

Practice location

15885 Goddard Rd, Apt 206
Southgate, MI 48195-4469

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	5502004947 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1740735109

Courtney Gardner, PTA's National Provider Identifier is 1740735109, issued on Aug 15, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Southgate, MI. The record was last updated on Aug 15, 2016.