Provider Demographics
NPI:1043764483
Name:VANDEHEE, TONNY (PT)
Entity Type:Individual
Prefix:MR
First Name:TONNY
Middle Name:
Last Name:VANDEHEE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3264 PACIFIC DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8672
Mailing Address - Country:US
Mailing Address - Phone:239-298-2111
Mailing Address - Fax:
Practice Address - Street 1:3264 PACIFIC DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8672
Practice Address - Country:US
Practice Address - Phone:239-298-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-14
Last Update Date:2016-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT159792251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports