Most Relevant Information
Provider Data
| NPI Number: | 1003671090 |
| Provider Name: | COLTEN BRYCE GARDNER PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1390169 |
Most Important Dates
| Enumeration Date: | 02/19/2024 |
| Last Updated: | 02/19/2024 |
Provider Practice Location
7005 WOODWAY DR STE 101
WOODWAY
TX
767126160
Practice Location Phone/Fax
| Phone: | 2542248062 |
| Fax: | 2542246385 |
Provider Mailing Location
7005 WOODWAY DR STE 101
WOODWAY
TX
767126160
Provider Mailing Phone/Fax
| Phone: | 2542248062 |
| Fax: | 2542246385 |