Individual
GARRETT MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 288-6496
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 288-6496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16215
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265132419
—
WI
Enumeration date
03/07/2023
Last updated
07/16/2024
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