Individual provider · Type 1 NPI
Mark W. Lavrack Jr., PTA
Physical Therapy Assistant · Gaylord, MI
Practice location
111 S Michigan Ave Apt 101
Gaylord, MI 49735-2724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 5502005718 (MI) |
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 1033801154
Mark W. Lavrack Jr., PTA's National Provider Identifier is 1033801154, issued on May 25, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Gaylord, MI. The record was last updated on May 25, 2023.