Michael Roger Garrett in Nantucket - Sports
Michael Roger Garrett - NPI 1225098544
Michael Roger Garrett is a Sports in Nantucket, Massachusetts. Michael Roger Garrett practices all healthcare services and medical treatments related to Sports. The NPI Number for Michael Roger Garrett is 1225098544. The last update date is 2009-10-21.
Michael Roger Garrett's current location address is 23 W Chester St, Nantucket, Massachusetts. You can contact this provider via phone number 5086801276 and fax number 5086081427. The mailing address for Michael Roger Garrett is 23 W Chester St, Nantucket, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Roger Garrett |
|---|---|
| Address | 23 W Chester St, Nantucket, Massachusetts |
| Phone Number | 5086801276 |
| Fax Number | 5086081427 |
| Sole Proprietor | N |
| Credentials | MSC HONS P |
NPI Number Detail
| NPI Number | 1225098544 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2009-10-21 |
Provider Mailing Address Detail
| Address | 23 W Chester St |
|---|---|
| City | Nantucket |
| State | Massachusetts (MA) |
| Post Code | 25543680 |
| Phone Number | 5086801276 |
| Fax Number | 5086081427 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 17468 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 650041 | MA | TUFTS | |
| 17468 | MA | MEDICAL LICENSE | |
| Y68819 | MA | BLUE CROSS OF MA | |
| 7261 | CO | MEDICAL LICENSE |
Post Comment/ Review Below
What is the Michael Roger Garrett's 1225098544?
The Michael Roger Garrett's NPI (National Provider Identifier) Number is 1225098544. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Roger Garrett?
The Michael Roger Garrett is situated at 23 W Chester St, in the city of Nantucket, state of MA, with the zip code 25543680.
What is Michael Roger Garrett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Roger Garrett's area of specialization is Sports, and the corresponding taxonomy code that categorizes this field of practice is 2251S0007X.
On what date did the Michael Roger Garrett receive its 1225098544 assignment from the Centers for Medicare & Medicaid Services?
The Michael Roger Garrett was assigned its 1225098544 by the Centers for Medicare & Medicaid Services on 2006-03-23.
As of what date were the details related to Michael Roger Garrett most recently updated or revised?
The information pertaining to Michael Roger Garrett, including its address, specialty, and other relevant details, was last updated or revised on 2009-10-21.
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