Tanner James Gooden, PTA

NPI #1699204370 in Worland, Wyoming

Provider Information

NPI Number: 1699204370
Entity Type: Individual
Name: Tanner James Gooden, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 7, 2017
Last Updated: Jun 7, 2017

Practice Location

Address: 1901 HOWELL AVE
City: Worland
State: Wyoming
ZIP Code: 82401-3733
Phone: (307) 347-4285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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