Baxter, Tabitha

Baxter, Tabitha is an sole proprietor health care provider with primary practice located at 201 Park Place Blvd , Kissimmee FL 34741-2345. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Baxter, Tabitha can be contacted via phone (321) 972-8326.

Contact Information

Primary practice address
201 Park Place Blvd Kissimmee FL 34741-2345
Phone: (321) 972-8326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1003400946
LBN Legal business name Baxter, Tabitha
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2021
Last updated Feb 22nd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003400946 NPPES
Florida Other 21939 PTA

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