Gardner, Melissa

Gardner, Melissa is an sole proprietor health care provider with primary practice located at 1901 Howell Ave , Worland WY 82401-3733. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Gardner, Melissa can be contacted via phone (307) 347-4285.

Contact Information

Primary practice address
1901 Howell Ave Worland WY 82401-3733
Phone: (307) 347-4285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA300 Wyoming

Profile Details

NPI number 1053079103
LBN Legal business name Gardner, Melissa
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2021
Last updated Dec 6th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053079103 NPPES
Wyoming MEDICAID 0859

Popular Providers