Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSHUA GARDINER, BS, LAT, ATC
Active Sole ProprietorJOSHUA GARDINER, BS, LAT, ATC is a Sports Medicine (EM) healthcare provider located in PUEBLO, Colorado. NPI 1750157103 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · PUEBLO, CO
Registration Details
- NPI Number
- 1750157103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2023 (2.7462473054051 yrs)
- Last Updated
- Nov 28, 2023
- License
-
AT.0002391 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 BONFORTE BLVDPUEBLO, CO, 810014901Browse CO providers · Browse ZIP 81001
- Phone
- 7207374856
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
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.