Healthcare Provider Details

I. General information

NPI: 1245425685
Provider Name (Legal Business Name): BKR THERAPIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 08/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7431 W ATLANTIC AVE SUITE# 52
DELRAY BEACH FL
33446-3512
US

IV. Provider business mailing address

7431 WEST ATLANTIC AVENUE SUITE 52
DELRAY BEACH FL
33446-3506
US

V. Phone/Fax

Practice location:
  • Phone: 561-638-7455
  • Fax: 561-638-7873
Mailing address:
  • Phone: 561-638-7455
  • Fax: 561-638-7873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT19193
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number23476
License Number StateFL

VIII. Authorized Official

Name: MR. JOSHUA ADAM DAVIS
Title or Position: OWNER
Credential: PT, DPT
Phone: 561-638-7455