NPI 1093337958

Rasheda Juandrell Tyson

Practitioner Prosthetist Pensacola, FL

Practice location

Address: 2702 Massachusetts Ave APT 185, Pensacola, FL 32505-3475
Phone: (850) 382-7803

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CL1275593 (FL)

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Prosthetics Case Management

Other Service Providers Taxonomy 1744P3200X Licence CL1275593 (FL)

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Registry record

NPI: 1093337958
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2020
Record last updated: 14 May 2020

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.