Doctor Name: | CARLY RUNKLES |
NPI Number: | 1275807570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT21840 |
Business Practice Address: | 430 Morton Plant St Suite 101 Clearwater, FL - 337563398 |
Business Phone Number: | 7274618464 |
Business Fax Number: | |
Mailing Address: | 430 Morton Plant St, Suite 101 CLEARWATER |
State: | FL |
Postal Code: | 337563398 |
Phone Number: | 7274618464 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2012 |
NPI Last Update Date: | 03/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT21840 |
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 |