Organization Name: | PREMIER PHYSICAL THERAPY AND SPORTS MEDICINE |
NPI Number: | 1780815837 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY A TUCKER (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 2220 Se Ocean Blvd Suite 202 Stuart |
State: | FL US |
Postal Code: | 349963308 |
Phone Number: | 7722834713 |
Fax Number: | 7722834715 |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 10/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 12440 |
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 |