| Doctor Name: | BRADLEY J GARDNER |
| NPI Number: | 1821267550 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 1102973 |
| Business Practice Address: | 117 W 3rd St Superior, NE - 689781729 |
| Business Phone Number: | 4028791267 |
| Business Fax Number: | 8667640606 |
| Mailing Address: | 117 W 3rd St, Po Box 263 SUPERIOR |
| State: | NE |
| Postal Code: | 689781729 |
| Phone Number: | 4028791267 |
| Fax Number: | 8667640606 |
| NPI Enumeration Date: | 02/27/2008 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1102973 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| 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 |