Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARDY THEODORE
Active Sole ProprietorAthletic Trainer · MERIDEN, CT
Registration Details
- NPI Number
- 1740891183
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2020 (5.6988597554959 yrs)
- Last Updated
- Aug 10, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
546 S BROAD ST STE 2FMERIDEN, CT, 064506601Browse CT providers · Browse ZIP 06450
- Phone
- 8669200769
- Primary Specialty
-
Athletic Trainer
225500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.