NPI 1902030802 · live from the CMS NPI Registry
Timothy A Agew
Kinesiotherapist in Sarasota, FL. National Provider Identifier 1902030802, active.
NPI record
| NPI | 1902030802 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Kinesiotherapist 226300000X |
| Practice location | 1501 N Lockwood Ridge Rd, Sarasota, FL 34237 |
| Practice phone | 941-362-9627 |
| Enumerated | May 6, 2009 |
| Last updated | May 6, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MA21615 (FL) |
| Kinesiotherapist primary | 226300000X | MA21615 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.