Individual provider · Type 1 NPI

Jody Carl Andersen, ATC, PT

Sports Physical Therapist · Tampa, FL

NPI number 1144293408 Active

Practice location

401 W Kennedy Blvd, Box 30F
Tampa, FL 33606-1450

Fax (813) 258-7482

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist Primary 2251S0007XPT 20698 (FL)
Athletic Trainer 2255A2300XAL 1654 (FL)

Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…

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About NPI 1144293408

Jody Carl Andersen, ATC, PT's National Provider Identifier is 1144293408, issued on Feb 8, 2006. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Tampa, FL. The record was last updated on Jan 20, 2014.