Doctor Name: | BRIAN THOMAS BYRD |
NPI Number: | 1013950468 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, MTC |
License Number: | PT19778 |
Business Practice Address: | 1880 59th St W Bradenton, FL - 342094630 |
Business Phone Number: | 9417920511 |
Business Fax Number: | 9417920560 |
Mailing Address: | Po Box 1156, ELLENTON |
State: | FL |
Postal Code: | 342221156 |
Phone Number: | 9417290003 |
Fax Number: | 9417290004 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT19778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |