Individual provider · Type 1 NPI

Stacey Rena Vandall, PTA

Physical Therapy Assistant · Myrtle Beach, SC

NPI number 1679786313 Active

Practice location

455 Sunnehanna Dr, Box 384
Myrtle Beach, SC 29588-5365

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1504 (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 1679786313

Stacey Rena Vandall, PTA's National Provider Identifier is 1679786313, issued on May 8, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Sep 30, 2016.