Steve Davis

Individual provider Active NPI Physical Therapist · Heathrow, FL

NPI 1467606764 · NPPES record last updated Nov 13, 2008

Key facts

NPI
1467606764
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2030153 (TX)
Practice address
1485 International Pkwy
Heathrow, FL 32746-5303
Phone
(800) 798-6035
NPI assigned
Nov 13, 2008
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
2030153TXMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2030153 TX Yes

Addresses

Primary practice location

1485 International Pkwy
Heathrow, FL 32746-5303

Mailing address

1485 International Pkwy
Heathrow, FL 32746-5303
Phone (800) 798-6035

Other providers in Heathrow, FL

All providers in Heathrow, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.