Individual provider · Type 1 NPI

Samantha Bussard

Physical Therapy Assistant · Kingsport, TN

NPI number 1235915075 Active

Practice location

2300 Pavilion Dr
Kingsport, TN 37660-4622

Call (423) 765-9655 Map

Mailing address

1229 Church Hill Rd
Lebanon, VA 24266-3948

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X8276 (TN)
Physical Therapy Assistant Primary 225200000X2306606242 (VA)

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 1235915075

Samantha Bussard's National Provider Identifier is 1235915075, issued on Sep 7, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kingsport, TN. The record was last updated on Sep 7, 2023.