Individual provider · Type 1 NPI

Taiesha Shakima Lide, PTA

Physical Therapy Assistant · Boynton Beach, FL

NPI number 1114596194 Active

Practice location

6609 W Woolbright Rd Ste 420
Boynton Beach, FL 33437-0917

Call (561) 200-4262 Map

Fax (561) 200-4268

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA31003 (FL)

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 1114596194

Taiesha Shakima Lide, PTA's National Provider Identifier is 1114596194, issued on Jun 23, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Boynton Beach, FL. The record was last updated on Jun 23, 2021.