Most Relevant Information
Provider Data
NPI Number: | 1003208224 |
Provider Name: | THOMAS J TARDIF PT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 9576 |
Most Important Dates
Enumeration Date: | 02/25/2015 |
Last Updated: | 12/09/2022 |
Provider Practice Location
65 E WADSWORTH PARK DR STE 230
DRAPER
UT
840208096
Practice Location Phone/Fax
Phone: | 3853088034 |
Fax: |
Provider Mailing Location
524 E LAKE COWDRY RD NW
ALEXANDRIA
MN
563088126
Provider Mailing Phone/Fax
Phone: | 3202046622 |
Fax: |