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

HOLLY TANNER, PT

Active Sole Proprietor

HOLLY TANNER, PT is a Physical Therapy Assistant healthcare provider located in MELBOURNE, Florida. NPI 1669997888 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MELBOURNE, FL

Registration Details

NPI Number
1669997888
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2017 (9.0149698409243 yrs)
Last Updated
Mar 16, 2020
License
PT14594 (FL)
Sole Proprietor
Yes

Practice Information

Address
205 E NASA BLVD STE 100
MELBOURNE, FL, 329011953
Browse FL providers · Browse ZIP 32901
Phone
3213615628
Fax
3217284135
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MELBOURNE, FL

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.