Doctor Name: | PAUL MATTHEW GARDNER |
NPI Number: | 1114909439 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 1922 |
Business Practice Address: | 2380 8th Ave Suite 8 Plattsmouth, NE - 680482367 |
Business Phone Number: | 4022963433 |
Business Fax Number: | 4022963531 |
Mailing Address: | 2380 8th Ave, Suite 8 PLATTSMOUTH |
State: | NE |
Postal Code: | 680482367 |
Phone Number: | 4022963433 |
Fax Number: | 4022963531 |
NPI Enumeration Date: | 11/14/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |