Individual
BRADLEY J GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
308 N CENTRAL AVE, SUPERIOR, NE 68978-1715
(402) 879-0109
(866) 764-0606
Mailing address
PO BOX 263, SUPERIOR, NE 68978-0263
(402) 879-0109
(866) 764-0606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1102973
KS
225100000X
Physical Therapist
Primary
1484
NE
Other
Enumeration date
02/27/2008
Last updated
01/07/2020
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