Individual provider · Type 1 NPI

Stephanie Lyn Tackett, PTA

Physical Therapy Assistant · Shenandoah, TX

NPI number 1013791276 Active

Practice location

9250 Pinecroft Dr
Shenandoah, TX 77380-3218

Call (713) 303-0252 Map

Mailing address

21030 Harvest Terrace Ln
Spring, TX 77379-3081

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2083321 (TX)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1013791276

Stephanie Lyn Tackett, PTA's National Provider Identifier is 1013791276, issued on Aug 21, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Shenandoah, TX. The record was last updated on Aug 21, 2023.