Individual provider · Type 1 NPI

Tiffany Porter, PTA

Physical Therapy Assistant · Bartlett, TN

NPI number 1366199705 Active

Practice location

8059 Stage Hills Blvd Ste 104
Bartlett, TN 38133-4071

Mailing address

7129 Goodman Ridge Dr
Olive Branch, MS 38654-4356

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X7260 (MS)

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 1366199705

Tiffany Porter, PTA's National Provider Identifier is 1366199705, issued on Mar 6, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bartlett, TN. The record was last updated on Mar 6, 2022.