Individual provider · Type 1 NPI

Tyler I. Edgerton

Physical Therapy Assistant · St. Louis, MO

NPI number 1679115109 Active

Practice location

2836 Watson Rd
St. Louis, MO 63139-2621

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2017036514 (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 1679115109

Tyler I. Edgerton's National Provider Identifier is 1679115109, issued on Oct 16, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 16, 2019.