NPI 1053667469

Derrick S Tipton, PTA

Practitioner Physical Therapy Assistant Zephyrhills, FL

Practice location

Address: 5939 Gall Blvd., Zephyrhills, FL 33542
Phone: (816) 932-3315
Mailing address: 8730 N Himes Ave APT 1209, Tampa, FL 33614-8308

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 23080 (FL)

Other Physical Therapy Assistant providers in Florida →

Registry record

NPI: 1053667469
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2012
Record last updated: 3 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.