MEDICARE: JAIME GARRIDO DPT

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		AZ

General Provider Information

NPI Number	:	1932615879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME GARRIDO DPT

Provider Business Mailing Address
First Line	:	9097 E DESERT COVE AVE STE 110
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6276
Country	:	US
Telephone Number	:	602-329-8250
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 E YEAGER DR STE 3
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85286-1578
Country	:	US
Telephone Number	:	480-351-8721
Fax Number	:	480-351-8722

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

Provider Enumeration Date	:	12/14/2017
Last Update Date	:	12/14/2017

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Directions to “ JAIME GARRIDO DPT” Practice Location

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