Provider Demographics
NPI:1285952903
Name:GARRARD, MICHAEL ERIC (PT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ERIC
Last Name:GARRARD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3565 SAUNDERS RD
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-4029
Mailing Address - Country:US
Mailing Address - Phone:706-965-4440
Mailing Address - Fax:
Practice Address - Street 1:3565 SAUNDERS RD
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-4029
Practice Address - Country:US
Practice Address - Phone:706-965-4440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH2241225100000X
GAPT009809225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist