Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner Polk

Individual provider Occupational Therapy Assistant · NPI 1053279521

Tanner Polk is an Occupational Therapy Assistant in Destin, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

996 Airport Rd
Destin, FL 32541-2824
Phone: (850) 863-7651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA19506 (FL)

Record details

NPI number1053279521
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2026
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address996 Airport Rd, Destin, FL 32541-2824

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