Provider Demographics
NPI:1972075067
Name:ASAAD, YOUSEF (DPT)
Entity type:Individual
Prefix:DR
First Name:YOUSEF
Middle Name:
Last Name:ASAAD
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 1:6818 TUMBLEWEED TRL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-1852
Mailing Address - Country:US
Mailing Address - Phone:813-816-0707
Mailing Address - Fax:
Practice Address - Street 1:6818 TUMBLEWEED TRL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-1852
Practice Address - Country:US
Practice Address - Phone:813-816-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-29
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT34287225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist