Provider Demographics
NPI:1538414321
Name:TOMES, SHIMIKA L (DPT)
Entity type:Individual
Prefix:DR
First Name:SHIMIKA
Middle Name:L
Last Name:TOMES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1886
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-5886
Mailing Address - Country:US
Mailing Address - Phone:704-779-3119
Mailing Address - Fax:
Practice Address - Street 1:2423 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405
Practice Address - Country:US
Practice Address - Phone:850-610-1220
Practice Address - Fax:850-807-5087
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26256225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist