Gary Russell Standifer, PT

NPI #1174896625 in Minden, Nevada

Provider Information

NPI Number
1174896625
Entity Type
Individual
Name
Gary Russell Standifer, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Feb 14, 2012
Last Updated
Feb 14, 2012

Practice Location

Address
1667 LUCERNE ST
Address 2
SUITE B
City
Minden
State
Nevada
ZIP Code
89423-4372
Phone
(775) 783-7606

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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