Provider Demographics
NPI:1013265271
Name:EIMER, JAMES MICHAEL (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:EIMER
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 1:2545 NE COACHMAN RD
Mailing Address - Street 2:#142
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1874
Mailing Address - Country:US
Mailing Address - Phone:304-840-8490
Mailing Address - Fax:
Practice Address - Street 1:2545 NE COACHMAN RD
Practice Address - Street 2:#142
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1874
Practice Address - Country:US
Practice Address - Phone:304-840-8490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 26777225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist