Provider Demographics
NPI:1154992634
Name:GARRETT, ABIGAIL M (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:M
Last Name:GARRETT
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 ROCKHURST RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-2508
Mailing Address - Country:US
Mailing Address - Phone:816-673-4539
Mailing Address - Fax:816-501-4119
Practice Address - Street 1:1100 ROCKHURST RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-2508
Practice Address - Country:US
Practice Address - Phone:816-673-4539
Practice Address - Fax:816-501-4119
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer