Individual
TANNER SAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1260 VALLEY VIEW DR, COUNCIL BLUFFS, IA 51503-5245
(712) 396-2000
Mailing address
11435 GERTRUDE CT APT 303, LA VISTA, NE 68128-4794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4668
NE
225100000X
Physical Therapist
Primary
CP032087T
IA
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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