Individual provider · Type 1 NPI

Itali Herron, PTA

Physical Therapy Assistant · Georgetown, TX

NPI number 1053086959 Active

Practice location

3415 Williams Dr Ste 145
Georgetown, TX 78628-2886

Call (512) 887-4544 Map

Fax (512) 887-4542

Mailing address

205 Peggy Dr
Liberty Hill, TX 78642-4459

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	2161087 (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 1053086959

Itali Herron, PTA's National Provider Identifier is 1053086959, issued on Aug 12, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Georgetown, TX. The record was last updated on Aug 12, 2021.