Individual provider · Type 1 NPI

Christine Larae Gordon, PTA

Physical Therapy Assistant · Casper, WY

NPI number 1699475772 Active

Practice location

60 Magnolia St
Casper, WY 82604-4035

Call (307) 234-9381 Map

Mailing address

12105 Zero Rd
Casper, WY 82604-9541

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-0537 (WY)

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 1699475772

Christine Larae Gordon, PTA's National Provider Identifier is 1699475772, issued on Mar 7, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Casper, WY. The record was last updated on Mar 7, 2023.