Individual provider · Type 1 NPI

Misty Gayle Luce, PTA

Physical Therapy Assistant · Fort Dodge, KS

NPI number 1124666722 Active

Practice location

714 Sheridan St
Fort Dodge, KS 67843-9068

Mailing address

201 Custer St
Fort Dodge, KS 67843

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X14-03536 (KS)

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 …

About NPI 1124666722

Misty Gayle Luce, PTA's National Provider Identifier is 1124666722, issued on Dec 13, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Dodge, KS. The record was last updated on Dec 13, 2019.