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NPI Code Detail

MEDICARE: ALEXIS SANQUIST PT, DPT

MEDICARE: ALEXIS SANQUIST PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT40475FL
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1851935670
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS SANQUIST PT, DPT
Provider Business Mailing Address
First Line : 5901 E FOWLER AVE STE 100
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-2305
Country : US
Telephone Number : 813-978-9700
Fax Number : 813-558-6815
Provider Business Practice Location Address
First Line : 6117 GUNN HWY
Second Line :
City : TAMPA
State : FL
Zip : 33625-4013
Country : US
Telephone Number : 813-978-9700
Fax Number : 813-558-6815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2019
Last Update Date : 12/12/2025

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Directions to “ ALEXIS SANQUIST PT, DPT” Practice Location

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