Doctor Name: | DOUGLAS VANACKER |
NPI Number: | 1134496318 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT7651 |
Business Practice Address: | 17419 Bridge Hill Ct Tampa, FL - 336473599 |
Business Phone Number: | 8139077879 |
Business Fax Number: | 8139943080 |
Mailing Address: | 13601 Bruce B Downs Blvd, Suite 110 TAMPA |
State: | FL |
Postal Code: | 336134657 |
Phone Number: | 8139077879 |
Fax Number: | 8139943080 |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 11/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT7651 |
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 |