Provider Demographics
NPI:1689563520
Name:RESSLER, GARRETT (DPT)
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:
Last Name:RESSLER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WEIKERT RD
Mailing Address - Street 2:
Mailing Address - City:LAURELTON
Mailing Address - State:PA
Mailing Address - Zip Code:17835
Mailing Address - Country:US
Mailing Address - Phone:570-939-5252
Mailing Address - Fax:
Practice Address - Street 1:22 BRAMHALL ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-3134
Practice Address - Country:US
Practice Address - Phone:507-662-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT6895225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist