| Doctor Name: | MRS. KIM-MICHELLE GARNER |
| NPI Number: | 1801805049 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT, CSCS |
| License Number: | 40QA00947100 |
| Business Practice Address: | 610 Franklin Ave Nutley, NJ - 071101244 |
| Business Phone Number: | 9732351111 |
| Business Fax Number: | 9732351110 |
| Mailing Address: | 106 Lane Ave, WEST CALDWELL |
| State: | NJ |
| Postal Code: | 070067421 |
| Phone Number: | 9732351111 |
| Fax Number: | 9732351110 |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 04/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00947100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |