Provider Demographics
NPI:1598459216
Name:NIMMO, GARRETT JONATHAN (MSAT, ATC, NREMT-B)
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:JONATHAN
Last Name:NIMMO
Suffix:
Gender:M
Credentials:MSAT, ATC, NREMT-B
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:4401 MIDDLETON DR
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-5529
Mailing Address - Country:US
Mailing Address - Phone:417-499-2755
Mailing Address - Fax:
Practice Address - Street 1:1700 SW COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66621-1101
Practice Address - Country:US
Practice Address - Phone:785-670-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer