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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANNER POLK

Active

TANNER POLK is a Occupational Therapy Assistant healthcare provider located in DESTIN, Florida. NPI 1053279521 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · DESTIN, FL

Registration Details

NPI Number
1053279521
Provider Type
Individual
Gender
Male
NPI Issued
Jan 13, 2026 (0.55067022551237 yrs)
Last Updated
Jan 13, 2026
License
OTA19506 (FL)

Practice Information

Address
996 AIRPORT RD
DESTIN, FL, 325412824
Browse FL providers · Browse ZIP 32541
Phone
8508637651
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in DESTIN, FL

Name Credential NPI
MR. RAYMOND NEIL WEBER COTA 1437423944
TRACY BOBBITT OTA 1821354945
AMANDA NICHOLLE VAUGHN COTA/L 1982006284
MR. DONALD KRAH JR. COTA 1528454394
MELINDA MARTIN 1780056309
MS. HANNAH LIANNE DOUGLAS COTA 1790206456
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.