Provider Demographics
NPI:1356772388
Name:THORNTON, TONI MICHELLE (DPT)
Entity type:Individual
Prefix:MRS
First Name:TONI
Middle Name:MICHELLE
Last Name:THORNTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:TONI
Other - Middle Name:MICHELLE
Other - Last Name:ACKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2055 WOOD ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-7928
Mailing Address - Country:US
Mailing Address - Phone:941-330-1677
Mailing Address - Fax:
Practice Address - Street 1:2055 WOOD ST STE 110
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-7928
Practice Address - Country:US
Practice Address - Phone:352-359-6498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-02
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28783225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist