Healthcare Provider Details

I. General information

NPI: 1538000161
Provider Name (Legal Business Name): GARRETT TYLER ORICK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 23RD AVE
GREELEY CO
80634-6070
US

IV. Provider business mailing address

1276 GILBREATH DR
JOHNSON CITY TN
37614-6503
US

V. Phone/Fax

Practice location:
  • Phone: 970-810-2800
  • Fax:
Mailing address:
  • Phone: 423-439-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: