Individual provider · Type 1 NPI

Lisa M. Back

Physical Therapy Assistant · Crystal River, FL

NPI number 1174781983 Active

Practice location

394 N Suncoast Blvd, Suite 40
Crystal River, FL 34429-5466

Fax (352) 795-6065

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA18639 (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 1174781983

Lisa M. Back's National Provider Identifier is 1174781983, issued on May 29, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Crystal River, FL. The record was last updated on May 29, 2008.