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Rasheda Juandrell Tyson
Prosthetist in Pensacola, Florida
NPI 1093337958

Rasheda Juandrell Tyson is a Prosthetist based in Pensacola, FL. Rasheda Juandrell Tyson practices in Pensacola, FL. The NPI Number for Rasheda Juandrell Tyson is 1093337958 and holds a License No. CL1275593 (Florida).

The current practice location address for Rasheda Juandrell Tyson is 2702 Massachusetts Ave Apt 185, Pensacola, FL and can be reached out via phone at 850-382-7803. You can also correspond with Rasheda Juandrell Tyson through the mailing address at 2702 MASSACHUSETTS AVE APT 185, PENSACOLA, FL - 32505-3475 (mailing address contact number: 850-382-7803).

Location: 2702 Massachusetts Ave Apt 185, Pensacola, FL, 32505-3475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093337958
Provider Name
Rasheda Juandrell Tyson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2702 Massachusetts Ave Apt 185, Pensacola, FL, 32505-3475
Phone Number
850-382-7803
Fax Number
Provider Enumeration Date
05/14/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0827 01 NONE
institution
Provider Business Practice Location Address Details
Address
2702 Massachusetts Ave Apt 185
City
Pensacola
State
Florida
Zip
32505-3475
Phone Number
850-382-7803
Fax Number
person
Provider Business Mailing Address Details
Address
2702 Massachusetts Ave Apt 185
City
Pensacola
State
Florida
Zip
32505-3475
Phone Number
850-382-7803
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
CL1275593 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
CL1275593 (Florida)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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