Individual
MR. MICHAEL ROGER GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSC HONS P.T.
Contact information
Practice address
23 W CHESTER ST, APARTMENT 5, NANTUCKET, MA 02554-3680
(508) 680-1276
(508) 680-1427
Mailing address
23 W CHESTER ST, APARTMENT 5, NANTUCKET, MA 02554-3680
(508) 680-1276
(508) 608-1427
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
17468
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17468
MEDICAL LICENSE
MA
01
—
650041
TUFTS
MA
01
—
7261
MEDICAL LICENSE
CO
01
—
Y68819
BLUE CROSS OF MA
MA
Enumeration date
03/23/2006
Last updated
10/21/2009
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