Individual
TERRELL GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 NEWBERRY DR, PLEASANT GROVE, AL 35127-1626
(205) 567-8122
Mailing address
416 NEWBERRY DR, PLEASANT GROVE, AL 35127-1626
(205) 567-8122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/14/2024
Last updated
05/11/2025
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