Individual
MICHAEL GARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
24007 BUSINESS HIGHWAY 71, MARYVILLE, MO 64468-8235
(660) 235-0002
Mailing address
24520 WELCH RD, MARYVILLE, MO 64468-7378
(660) 235-0002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013019359
MO
Other
Enumeration date
06/20/2013
Last updated
01/27/2022
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