Provider Demographics
NPI:1720223944
Name:MCIVER, RASHAD (DPT)
Entity Type:Individual
Prefix:
First Name:RASHAD
Middle Name:
Last Name:MCIVER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-7044
Mailing Address - Country:US
Mailing Address - Phone:954-458-5700
Mailing Address - Fax:954-458-5110
Practice Address - Street 1:1000 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-7044
Practice Address - Country:US
Practice Address - Phone:954-458-5700
Practice Address - Fax:954-458-5110
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24348225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist