Doctor Name: | MR. KELVIN REDDICK |
NPI Number: | 1629349626 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | 2231 |
Business Practice Address: | 3101 Ginger Dr Tallahassee, FL - 323084437 |
Business Phone Number: | 8508772177 |
Business Fax Number: | 8509427237 |
Mailing Address: | 3101 Ginger Dr, TALLAHASSEE |
State: | FL |
Postal Code: | 323084437 |
Phone Number: | 8508772177 |
Fax Number: | 8509427237 |
NPI Enumeration Date: | 01/23/2012 |
NPI Last Update Date: | 01/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2231 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
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 |