Individual
DECORIYANNA GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1038 S 17TH ST, LOUISVILLE, KY 40210-2459
(502) 953-3399
Mailing address
1038 S 17TH ST, LOUISVILLE, KY 40210-2459
(502) 953-3399
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201213178
KY
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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