Tyler Gardiner, ATC
NPI #1063035616 in South Portland, Maine
Provider Information
- NPI Number
- 1063035616
- Entity Type
- Individual
- Name
- Tyler Gardiner, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- May 18, 2020
- Last Updated
- Jun 23, 2022
Practice Location
- Address
- 119 GANNETT DR
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-6942
- Phone
- (207) 773-0040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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