National Provider Identifier
Tara Suzanne Garrett, MS PT CLT LA
Tara Suzanne Garrett, MS PT CLT LA is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 580-7360.
Profile Overview
- NPI
- 1629141064
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 15, 2006
- Last Updated
- December 02, 2019
Practice Location
- 705 Maple RD Ste 100
- Williamsville, NY 14221-3291
Phone: (716) 580-7360
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1629141064
- Entity Type
- Individual
- Last Name
- Garrett
- First Name
- Tara
- Middle Name
- Suzanne
- Name Prefix
- Mrs.
- Credential
- MS PT CLT LA
- Mailing Street Address
- 705 Maple RD Ste 100
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3291
- Mailing Country
- US
- Mailing Phone
- (716) 805-7360
- Mailing Fax
- (716) 580-7396
- Practice Street Address
- 705 Maple RD Ste 100
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3291
- Practice Country
- US
- Practice Phone
- (716) 580-7360
- Practice Fax
- (716) 580-7396
- Enumeration Date
- November 15, 2006
- Last Updated
- December 02, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)
- Other Identifiers
- 000627413001 (NY, Blue Cross Blue Shield), 9312131 (NY, Independent Health)