Individual provider · Type 1 NPI
Terrell Gardner
Student in an Organized Health Care Education/Training Program · Pleasant Grove, AL
NPI number
1881401743
Active
Practice location
416 Newberry Dr
Pleasant Grove, AL 35127-1626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1881401743
Terrell Gardner's National Provider Identifier is 1881401743, issued on Dec 14, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pleasant Grove, AL. The record was last updated on May 11, 2025.