MEDICARE: MISS DAYAH GARRETT LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	33-018-231	OH

General Provider Information

NPI Number	:	1568927606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DAYAH GARRETT LMT

Provider Business Mailing Address
First Line	:	18231 WINSLOW RD LOWR LEVEL
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44122-4808
Country	:	US
Telephone Number	:	313-437-3108
Fax Number	:

Provider Business Practice Location Address
First Line	:	18231 WINSLOW RD LOWR LEVEL
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44122-4808
Country	:	US
Telephone Number	:	313-437-3108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2019
Last Update Date	:	02/03/2019

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Directions to “ MISS DAYAH GARRETT LMT” Practice Location

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