Individual
GARRETT CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 HILAND AVE STE C, BURLEY, ID 83318-2682
(208) 677-6080
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
9442887-0501
ID
213ES0103X
Foot & Ankle Surgery Podiatrist
2017023338
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
8661978
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2014
Last updated
01/22/2026
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