TANNER JAMES GOODEN PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1699204370- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 1901 HOWELL AVE, WORLAND, WY, 824013733
- Phone
- (307) 347-4285
- Fax
- (307) 347-2154
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: PA #TE011221