Provider Demographics
NPI:1164305116
Name:GARRETT, GIOVONNI ROMIA (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:GIOVONNI
Middle Name:ROMIA
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 1:2614 N UNIVERSITY DR APT 105
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-2925
Mailing Address - Country:US
Mailing Address - Phone:317-734-9098
Mailing Address - Fax:
Practice Address - Street 1:2614 N UNIVERSITY DR APT 105
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-2925
Practice Address - Country:US
Practice Address - Phone:317-734-9098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty