Individual provider · Type 1 NPI

Daryl Gene Wade Ii, PTA

Physical Therapy Assistant · Sikeston, MO

NPI number 1689172413 Active

Practice location

1102 Sikes Ave
Sikeston, MO 63801-5021

Call (573) 471-5755 Map

Fax (573) 471-5884

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2008024826 (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 1689172413

Daryl Gene Wade Ii, PTA's National Provider Identifier is 1689172413, issued on Jan 26, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sikeston, MO. The record was last updated on Jan 26, 2018.