Provider Demographics
NPI:1598363376
Name:BARTZ, JAYME LEIGH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JAYME
Middle Name:LEIGH
Last Name:BARTZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:709 S HARBOR CITY BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-1936
Mailing Address - Country:US
Mailing Address - Phone:321-722-7225
Mailing Address - Fax:321-308-0635
Practice Address - Street 1:4311 NORFOLK PKWY STE 116
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-8617
Practice Address - Country:US
Practice Address - Phone:321-802-5816
Practice Address - Fax:321-802-5811
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT36178225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist