Individual provider · Type 1 NPI

Ivan Slaughter, PTA

Physical Therapy Assistant · Plant City, FL

NPI number 1497330765 Active

Practice location

2202 W Oak Ave
Plant City, FL 33563-7222

Mailing address

6898 A C Skinner Pkwy Unit 318
Jacksonville, FL 32256-7929

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA30779 (FL)

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 1497330765

Ivan Slaughter, PTA's National Provider Identifier is 1497330765, issued on Mar 17, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Plant City, FL. The record was last updated on Mar 17, 2021.