Andersen, Jody Carl

Andersen, Jody Carl is an individual health care provider with primary practice located at 401 W Kennedy Blvd Box 30F, Tampa FL 33606-1450. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Andersen, Jody Carl can be contacted via phone (813) 257-3162.

Contact Information

Primary practice address
401 W Kennedy Blvd Box 30F Tampa FL 33606-1450
Phone: (813) 257-3162
Fax: (813) 258-7482
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT 20698 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL 1654 Florida

Profile Details

NPI number 1144293408
LBN Legal business name Andersen, Jody Carl
Credentials ATC, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jan 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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