Dr. Jody Carl Andersen
Physical Therapist - Sports
401 W Kennedy Blvd Box 30f
Tampa
, Florida 33606-1450
Dr. Jody Carl Andersen
Physical Therapist - Sports
401 W Kennedy Blvd Box 30f
Tampa
, Florida 33606-1450
(813) 258-7482
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Dr. Jody Carl Andersen
- 401 W Kennedy Blvd Box 30f
- Tampa, FL
- Zip : 33606-1450
- Fax : (813) 258-7482
- Phone : (813) 257-3162
Second Address
- Dr. Jody Carl Andersen
- 401 W Kennedy Blvd Box 30f
- Tampa, FL
- Zip : 33606-1450
- Fax : (813) 258-7482
- Phone : (813) 257-3162
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | PT 20698 | FL |
National Provider Identifier
| NPI | 1144293408 |
|---|---|
| Provider Name | Dr. Jody Carl Andersen |
| First Address | Tampa, FL 33606-1450 |
| Second Address | Tampa, FL 33606-1450 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2006 |
| Last Update Date | 20/01/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.