Robert Lyles

Individual provider Active NPI Physical Therapy Assistant · Apalachicola, FL

NPI 1972965044 · NPPES record last updated Mar 28, 2016

Key facts

NPI
1972965044
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA25886 (FL)
Practice address
76 Market St
Apalachicola, FL 32320-2708
Phone
(850) 370-1780
NPI assigned
Mar 28, 2016
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
PTA25886FLMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA25886 FL Yes

Addresses

Primary practice location

76 Market St
Apalachicola, FL 32320-2708

Mailing address

76 Market Street
Apalachicola, FL 32320
Phone (850) 370-1780

Other providers in Apalachicola, FL

All providers in Apalachicola, FL · Physical Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.