Sawn Davis, PTA
Individual provider Active NPI Physical Therapy Assistant · Mims, FL
NPI 1669828455 · NPPES record last updated May 11, 2016
Key facts
- NPI
- 1669828455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 3454 Irwin Ave
Mims, FL 32754-5523 - Phone
- (321) 759-4936
- NPI assigned
- May 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | FL | Yes |
Addresses
Primary practice location
3454 Irwin Ave
Mims, FL 32754-5523
Mailing address
3454 Irwin Ave
Mims, FL 32754-5523
Phone (321) 759-4936
Other providers in Mims, FL
- Behavior Education Language & Lifeskills, Inc.
- Gail N Brandt
- Christine Ann Cassidy
- Suzanne Comer
- David Willis DO PA
- Hana Desoff
- Jamika Dibidad
- Makenna Hope Drummond
- Mark Fischer
- Gerald L Fitzgerald
All providers in Mims, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.