Individual provider · Type 1 NPI

Tara Ecklund, PTA

Physical Therapy Assistant · Republic, MO

NPI number 1376304428 Active

Practice location

2673 E Sawyer Rd
Republic, MO 65738-7574

Mailing address

843 Scenic View Ct
Nixa, MO 65714-7609

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2015024299 (MO)

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 1376304428

Tara Ecklund, PTA's National Provider Identifier is 1376304428, issued on Jan 17, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Republic, MO. The record was last updated on Jan 17, 2024.