Garrett N Kidd, is a
Physical Therapy Assistant based in Pueblo, Colorado. Garrett N Kidd is licensed to practice in Texas (license number 2133756) and his current practice location is
1302 Chinook Ln, Pueblo, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 545-2746.
NPI number for Garrett N Kidd is 1639419187 and his current mailing address is 1026 W Abriendo Ave, Pueblo, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639419187.
Healthcare Provider's Profile
| Full Name | Garrett N Kidd |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapy Assistant |
|---|
| Location | 1302 Chinook Ln, Pueblo, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639419187
- Provider Enumeration Date: 02/20/2013
- Last Update Date: 07/09/2021
Medical Identifiers
Medical identifiers for Garrett N Kidd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639419187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | 2133756 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Garrett N Kidd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Garrett N Kidd,
1026 W Abriendo Ave,
Pueblo, CO 81004-1128
Ph: (719) 545-2746 | Garrett N Kidd,
1302 Chinook Ln,
Pueblo, CO 81001-1851
Ph: (719) 545-2746 |
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