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

MR. KENNETH DARYL TIBBETTS JR., PTA

Active Sole Proprietor

MR. KENNETH DARYL TIBBETTS JR., PTA is a Occupational Therapist healthcare provider located in TAMPA, Florida. NPI 1639786569 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · TAMPA, FL

Registration Details

NPI Number
1639786569
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2020 (6.0916060431717 yrs)
Last Updated
Sep 24, 2020
License
28226 (FL)
Sole Proprietor
Yes

Practice Information

Address
719 E ROBSON ST
TAMPA, FL, 336044224
Browse FL providers · Browse ZIP 33604
Phone
8137120618
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in TAMPA, FL

Name Credential NPI
MR. NOAH WOODBERRY MCDADE PTA 1760422570
MS. TAMMY KAY STEEN PTA 1629093976
MR. MARIO A ESTRADA R.P.T.A 1699856690
BARBAREE MOFIELD PTA 1538299052
MR. ROBERT D GREENE PTA 1184757908
MISS ANGELA MARIE DEMASI PTA 1619095999
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.