Individual
NICOLE GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1206
ND
225100000X
Physical Therapist
6898
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460079
—
ND
Enumeration date
10/19/2010
Last updated
12/23/2015
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