Individual provider · Type 1 NPI

Evans Lock, PTA

Physical Therapy Assistant · Jackson, MI

NPI number 1295584589 Active

Practice location

100 E Michigan Ave Ste 400
Jackson, MI 49201-1498

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	5502000102 (MI)

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 1295584589

Evans Lock, PTA's National Provider Identifier is 1295584589, issued on May 17, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jackson, MI. The record was last updated on May 17, 2024.