Provider Demographics
NPI:1215604921
Name:BYRDNEST PT AND HOME DESIGNS LLC
Entity Type:Organization
Organization Name:BYRDNEST PT AND HOME DESIGNS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:STECKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:321-421-9799
Mailing Address - Street 1:428 DIAMOND DOVE CV
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6598
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:428 DIAMOND DOVE CV
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6598
Practice Address - Country:US
Practice Address - Phone:813-317-0037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy