MEDICARE: TANYA GARRISON PT

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	225100000X	Physical Therapist	5501007433	MI

General Provider Information

NPI Number	:	1568595676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA GARRISON PT

Provider Business Mailing Address
First Line	:	PO BOX 412031
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-2031
Country	:	US
Telephone Number	:	914-294-4050
Fax Number	:	631-760-8306

Provider Business Practice Location Address
First Line	:	1424 S MAIN ST STE 1
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-4309
Country	:	US
Telephone Number	:	517-312-1712
Fax Number	:

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	06/09/2025

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Directions to “ TANYA GARRISON PT” Practice Location

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