Provider Demographics
NPI:1447366927
Name:GARMON, ADAM L (ATC, MA)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:L
Last Name:GARMON
Suffix:
Gender:M
Credentials:ATC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2881 N MARQUISE CT
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3771
Mailing Address - Country:US
Mailing Address - Phone:520-954-7997
Mailing Address - Fax:
Practice Address - Street 1:2881 N MARQUISE CT
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3771
Practice Address - Country:US
Practice Address - Phone:520-954-7997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ04512255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer