Individual
ANDREA DEE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
15215 SE 272ND ST STE 105, KENT, WA 98042-9918
(800) 404-6050
(866) 313-3397
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 318-3007
(210) 468-0682
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH61001282
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038.013678
CHIROPRACTIC LICENSE
IL
01
—
CH12356
CHIROPRACTIC LICENSE
FL
01
—
CH61001282
CHIROPRACTIC LICENSE
WA
Enumeration date
11/15/2017
Last updated
12/30/2022
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