Individual provider · Type 1 NPI

Tequila King, PTA

Physical Therapy Assistant · Ridgeland, SC

NPI number 1689412082 Active

Practice location

567 N Okatie Hwy
Ridgeland, SC 29936-5078

Mailing address

108 Lakeway Dr
Bluffton, SC 29910-4411

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3934 (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 1689412082

Tequila King, PTA's National Provider Identifier is 1689412082, issued on Jul 18, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ridgeland, SC. The record was last updated on Jul 18, 2024.