Individual
BRYANT LEE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 LEMMON LN, RIGBY, ID 83442-4921
(208) 227-5182
(208) 252-7535
Mailing address
329 LEMMON LN, RIGBY, ID 83442-4921
(208) 227-3254
(208) 252-7535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-9083
ID
Other
Enumeration date
05/28/2024
Last updated
05/05/2026
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