| Doctor Name: | LEISA S GARRETT |
| NPI Number: | 1104193242 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA10003091 |
| Business Practice Address: | 16259 Sylvester Rd Sw Suite 502 Burien, WA - 981663049 |
| Business Phone Number: | 2068387065 |
| Business Fax Number: | 2068387067 |
| Mailing Address: | 16259 Sylvester Rd Sw, Suite 502 BURIEN |
| State: | WA |
| Postal Code: | 981663049 |
| Phone Number: | 2068387065 |
| Fax Number: | 2068387067 |
| NPI Enumeration Date: | 11/17/2011 |
| NPI Last Update Date: | 10/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA10003091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |