Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN TODD GARDNER, CHES, PTA, EXP
Active Sole ProprietorMR. JONATHAN TODD GARDNER, CHES, PTA, EXP is a Specialist healthcare provider located in SPRINGFIELD, Michigan. NPI 1962511840 is currently active in the NPPES registry. Verify at CMS.
Specialist · SPRINGFIELD, MI
Registration Details
- NPI Number
- 1962511840
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.996819455298 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
2775 W DICKMAN RDSUITE LSPRINGFIELD, MI, 490154895Browse MI providers · Browse ZIP 49015
- Phone
- 2699661101
- Fax
- 2699661113
- Primary Specialty
-
Specialist
174400000X
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.