Provider Demographics
NPI:1710718879
Name:STRICKLAND, SUMMER (DPT)
Entity type:Individual
Prefix:MS
First Name:SUMMER
Middle Name:
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:SUMMER
Other - Middle Name:
Other - Last Name:JUSTICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:1274 27TH ST
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-2836
Mailing Address - Country:US
Mailing Address - Phone:334-790-1636
Mailing Address - Fax:
Practice Address - Street 1:36474C EMERALD COAST PKWY STE 3101
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-6701
Practice Address - Country:US
Practice Address - Phone:850-863-2153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT37847225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist