MR. BRYAN WHITEHURST ATC LAT PES NPI 1790853620

NPI Information

NPI: 1790853620
Provider Name: MR. BRYAN WHITEHURST, ATC, LAT, PES
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
1786 PARK CENTRAL DR
SUITE 360
ORLANDO, FL
ZIP 32835
Phone: (407) 290-2471
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MR. Bryan Whitehurst, ATC, LAT, PES is a rehabilitation practitioner in Orlando, FL. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. MR. Bryan Whitehurst, ATC, LAT, PES NPI is 1790853620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1786 PARK CENTRAL DR
SUITE 360
ORLANDO, FL
ZIP 32835
Phone: (407) 290-2471

The enumeration date for this NPI number is 11/30/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner		AL 1542	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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