Healthcare Provider Details

I. General information

NPI: 1609587351
Provider Name (Legal Business Name): DR. GARRETT THOMAS WOO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2022
Last Update Date: 03/31/2026
Certification Date: 05/07/2024
Deactivation Date: 05/07/2024
Reactivation Date: 03/31/2026

III. Provider practice location address

940 SARATOGA AVE STE 109
SAN JOSE CA
95129-3430
US

IV. Provider business mailing address

68 HAROLD AVE STE 101
SANTA CLARA CA
95050-2028
US

V. Phone/Fax

Practice location:
  • Phone: 408-430-3966
  • Fax:
Mailing address:
  • Phone: 408-246-1738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number36399
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: