Provider Demographics
NPI:1649408048
Name:GARRETT, DARRELL D (CRT)
Entity Type:Individual
Prefix:MR
First Name:DARRELL
Middle Name:D
Last Name:GARRETT
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:157 BIG ELK TRL
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-9153
Mailing Address - Country:US
Mailing Address - Phone:501-282-2859
Mailing Address - Fax:
Practice Address - Street 1:1910 ALBERT PIKE RD
Practice Address - Street 2:SUITES G & H
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4011
Practice Address - Country:US
Practice Address - Phone:501-623-8520
Practice Address - Fax:501-623-8237
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR0790227800000X, 2278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
No2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Rehabilitation