NPI 1699204370

Tanner James Gooden, PTA

Practitioner Physical Therapy Assistant Worland, WY

Practice location

Address: 1901 Howell Ave, Worland, WY 82401-3733
Phone: (307) 347-4285
Fax: (307) 347-2154
Mailing address: 222 S Highland St, Du Bois, PA 15801-2077

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence TE011221 (PA)

Other Physical Therapy Assistant providers in Wyoming →

Registry record

NPI: 1699204370
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2017
Record last updated: 7 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.