Provider Demographics
NPI:1538702063
Name:GARET, CHERI ANN
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:ANN
Last Name:GARET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2433 MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-2539
Mailing Address - Country:US
Mailing Address - Phone:860-478-7614
Mailing Address - Fax:
Practice Address - Street 1:2433 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-2539
Practice Address - Country:US
Practice Address - Phone:860-478-7614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005992225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist