Individual provider · Type 1 NPI

Liana Brooke Godbold, PTA

Physical Therapy Assistant · Lake City, FL

NPI number 1245824911 Active

Practice location

560 SW Mcfarlane Ave
Lake City, FL 32025-5614

Mailing address

116 NW Veterans St Apt 304
Lake City, FL 32055-2809

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA30806 (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 1245824911

Liana Brooke Godbold, PTA's National Provider Identifier is 1245824911, issued on Feb 23, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake City, FL. The record was last updated on Feb 23, 2021.