Individual
AIMEE GARDANIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2526 24TH ST N LOWR UNIT, ARLINGTON, VA 22207-4907
(801) 369-8884
Mailing address
2526 24TH ST N LOWR UNIT, ARLINGTON, VA 22207-4907
(801) 369-8884
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000039743
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000039743
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
UT
Enumeration date
07/09/2020
Last updated
07/09/2020
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