Individual provider · Type 1 NPI

Mary Lesie Kyzer, PTA

Physical Therapy Assistant · Vidalia, GA

NPI number 1619187002 Active

Practice location

101 Harris Industrial Blvd
Vidalia, GA 30474

Mailing address

104 Lakeview Dr
Wrightsville, GA 31096-1836

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA1383 (GA)

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 1619187002

Mary Lesie Kyzer, PTA's National Provider Identifier is 1619187002, issued on May 23, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Vidalia, GA. The record was last updated on Jul 8, 2007.