Craig Clements, MSPT

Individual provider Active NPI Physical Therapist · Seffner, FL

NPI 1467591404 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1467591404
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT20617 (FL)
Practice address
11754 Martin Luther King Jr. Blvd.
Seffner, FL 33584
Phone
(813) 661-8267
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT20617FLMDPhysical Therapist

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20617 FL Yes

Addresses

Primary practice location

11754 Martin Luther King Jr. Blvd.
Seffner, FL 33584

Mailing address

11754 Martin Luther King Jr. Blvd.
Seffner, FL 33584

Other providers in Seffner, FL

All providers in Seffner, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.