Tyler Edwin Garriott, 175T00000X
Individual provider Active NPI Peer Specialist · Richmond, MI
NPI 1003725367 · NPPES record last updated Sep 3, 2026
Key facts
- NPI
- 1003725367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 400 Stoddard Rd
Richmond, MI 48062-2505 - Phone
- (810) 392-2167
- NPI assigned
- Sep 3, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
400 Stoddard Rd
Richmond, MI 48062-2505
Mailing address
6750 Ravenswood Rd
Kimball, MI 48074-2904
Other providers in Richmond, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.