Individual provider · Type 1 NPI

Lori Waller, PTA

Physical Therapy Assistant · Gaffney, SC

NPI number 1639309693 Active

Practice location

101 Park Ct
Gaffney, SC 29341-7021

Mailing address

271 Pyrenees Dr
Lyman, SC 29365

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X000992 (CT)
Physical Therapy Assistant Primary 225200000X3004 (SC)

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 1639309693

Lori Waller, PTA's National Provider Identifier is 1639309693, issued on Jul 23, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Gaffney, SC. The record was last updated on Jul 21, 2022.