Provider Demographics
NPI:1871533612
Name:GARMAN, BRETT A (PT)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:A
Last Name:GARMAN
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 1:4015 BRADFORD CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-9276
Mailing Address - Country:US
Mailing Address - Phone:717-735-3600
Mailing Address - Fax:717-735-3604
Practice Address - Street 1:231 GRANITE RUN DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6823
Practice Address - Country:US
Practice Address - Phone:717-735-3600
Practice Address - Fax:717-735-3604
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015772225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA097105D1XMedicare ID - Type Unspecified
PAQ60405Medicare UPIN