Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Gardner, PTA

Individual provider Physical Therapy Assistant · NPI 1740735109

Courtney Gardner, PTA is a Physical Therapy Assistant in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

15885 Goddard Rd Apt 206
Southgate, MI 48195-4469
Phone: (801) 425-0459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502004947 (MI)

Record details

NPI number1740735109
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 15, 2016
Last updated in NPPESAugust 15, 2016

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