Provider Demographics
NPI:1811965346
Name:D'HESPEEL, CHRIS G (PT)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:G
Last Name:D'HESPEEL
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 1:265 BEARDED OAKS DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-1606
Mailing Address - Country:US
Mailing Address - Phone:941-539-3103
Mailing Address - Fax:
Practice Address - Street 1:4964 FRUITVILLE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-2261
Practice Address - Country:US
Practice Address - Phone:941-341-9480
Practice Address - Fax:941-341-9490
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5425225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist