Individual
MR. BRENT BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1365 MEDICAL PKWY, CARSON CITY, NV 89703-4653
(775) 786-3040
(775) 788-5254
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5177
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11488871
CAQH
—
Enumeration date
06/12/2006
Last updated
08/04/2023
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