Doctor Name: | DR. KYLE MICHAEL SCHANEVILLE |
NPI Number: | 1326066325 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, OCS, MTC |
License Number: | PT14070 |
Business Practice Address: | 721 W Robertson St Brandon, FL - 335114934 |
Business Phone Number: | 8136541410 |
Business Fax Number: | 8136579544 |
Mailing Address: | 944 Vista Cay Ct, BRANDON |
State: | FL |
Postal Code: | 335117350 |
Phone Number: | 8139524463 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT14070 |
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 |