Provider Demographics
NPI:1588640817
Name:TAMBLEY, HELBERTS C (PT)
Entity type:Individual
Prefix:MR
First Name:HELBERTS
Middle Name:C
Last Name:TAMBLEY
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 1:200 CAPRI ISLES BLVD UNIT 1C
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-2335
Mailing Address - Country:US
Mailing Address - Phone:941-486-8126
Mailing Address - Fax:941-412-3599
Practice Address - Street 1:200 CAPRI ISLES BLVD UNIT 1C
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292
Practice Address - Country:US
Practice Address - Phone:941-486-8126
Practice Address - Fax:941-412-3599
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT6775225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00194678OtherRAILROAD MEDICARE INDIVIDUAL PROVIDER NUMBER
FLY6366Medicare ID - Type Unspecified