Individual provider · Type 1 NPI

Sy Labthavikul, PTA

Physical Therapy Assistant · Portland, OR

NPI number 1346002250 Active

Practice location

10915 SE Stark St
Portland, OR 97216-3348

Mailing address

412 SE 30th Pl
Portland, OR 97214-1921

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X9796 (OR)

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 1346002250

Sy Labthavikul, PTA's National Provider Identifier is 1346002250, issued on Jan 25, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portland, OR. The record was last updated on Jan 25, 2024.