Individual provider · Type 1 NPI

Traci Annette Diveley, PTA

Physical Therapy Assistant · Raleigh, NC

NPI number 1326653676 Active

Practice location

10810 Sandy Oak Ln
Raleigh, NC 27614-8386

Call (919) 846-7147 Map

Mailing address

4905 Summit Arbor Dr Apt 103
Raleigh, NC 27612-3381

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X160.001168 (IL)
Physical Therapy Assistant Primary 225200000XA7261 (NC)

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 1326653676

Traci Annette Diveley, PTA's National Provider Identifier is 1326653676, issued on Sep 14, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Raleigh, NC. The record was last updated on Sep 14, 2020.