Provider Demographics
NPI:1073540241
Name:GARNER, SACHIKO (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:SACHIKO
Middle Name:
Last Name:GARNER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 DOTTI DR
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36870-8667
Mailing Address - Country:US
Mailing Address - Phone:706-464-9876
Mailing Address - Fax:706-256-0830
Practice Address - Street 1:2300A MANCHESTER EXPY STE 101-B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6812
Practice Address - Country:US
Practice Address - Phone:706-256-0825
Practice Address - Fax:706-256-0830
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT008292225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist