| Doctor Name: | MR. MICHAEL ROGER GARRETT |
| NPI Number: | 1225098544 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSC HONS P.T. |
| License Number: | 17468 |
| Business Practice Address: | 23 W Chester St Apartment 5 Nantucket, MA - 025543680 |
| Business Phone Number: | 5086801276 |
| Business Fax Number: | 5086801427 |
| Mailing Address: | 23 W Chester St, Apartment 5 NANTUCKET |
| State: | MA |
| Postal Code: | 025543680 |
| Phone Number: | 5086801276 |
| Fax Number: | 5086081427 |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 10/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 17468 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |