Doctor Name: | TYRONE P. ROBERTS |
NPI Number: | 1134330228 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | MA 47862 |
Business Practice Address: | 411 S. Garden Ave. #3 Clearwater, FL - 337565529 |
Business Phone Number: | 8138025589 |
Business Fax Number: | 7279538995 |
Mailing Address: | 411 S. Garden Ave., #3 CLEARWATER |
State: | FL |
Postal Code: | 337565529 |
Phone Number: | 8138025589 |
Fax Number: | 7279538995 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 12/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 47862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |