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

Kenneth Gardner, DPT

Individual provider Physical Therapist · NPI 1699338939

Kenneth Gardner, DPT is a Physical Therapist in Nampa, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2005 12th Ave Rd
Nampa, ID 83686-6311
Phone: (208) 463-0022
Fax: (208) 463-0031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 — (541) 779-6250

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8980 (ID)

Record details

NPI number1699338939
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

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