Individual provider · Type 1 NPI

Kirsten Andrea Bradshaw, PTA

Physical Therapy Assistant · Tyler, TX

NPI number 1164816948 Active

Practice location

747 S Beckham Ave
Tyler, TX 75701

Mailing address

5348 Old Jacksonville Hwy. Apt 206
Tyler, TX 75703

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2102336 (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 1164816948

Kirsten Andrea Bradshaw, PTA's National Provider Identifier is 1164816948, issued on Mar 19, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Tyler, TX. The record was last updated on Mar 19, 2015.