Individual
HARLEY MICHELLE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
892 W VANDERBILT ST UNIT C, STEPHENVILLE, TX 76401-3323
(979) 270-2362
Mailing address
892 W VANDERBILT ST UNIT C, STEPHENVILLE, TX 76401-3323
(979) 270-2362
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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