Provider Demographics
NPI:1275219339
Name:GARNETT, AARMANNI KEEFEL (PT)
Entity Type:Individual
Prefix:
First Name:AARMANNI
Middle Name:KEEFEL
Last Name:GARNETT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 N GILBERT RD APT 1061
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-8251
Mailing Address - Country:US
Mailing Address - Phone:740-616-4718
Mailing Address - Fax:
Practice Address - Street 1:2830 N 42ND ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-1421
Practice Address - Country:US
Practice Address - Phone:602-954-7742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPT-33040225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist