Provider Demographics
NPI:1467740597
Name:LOCKER, BRITTNEY (DPT)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:LOCKER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BRITTENY
Other - Middle Name:
Other - Last Name:KUSNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3903 NORTHDALE BLVD
Mailing Address - Street 2:STE 111W
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-1864
Mailing Address - Country:US
Mailing Address - Phone:813-418-7350
Mailing Address - Fax:813-265-2504
Practice Address - Street 1:1501 W CLEVELAND ST
Practice Address - Street 2:STE 220
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-1812
Practice Address - Country:US
Practice Address - Phone:813-805-8105
Practice Address - Fax:813-254-3055
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26539225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist