Individual provider · Type 1 NPI

Tieifa Raquel Dueberry, PTA

Physical Therapy Assistant · Livingston, TX

NPI number 1710462841 Active

Practice location

305 W Mill St
Livingston, TX 77351-3226

Call (936) 327-4084 Map

Fax (936) 327-1201

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2139205 (TX)

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 1710462841

Tieifa Raquel Dueberry, PTA's National Provider Identifier is 1710462841, issued on Sep 25, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Livingston, TX. The record was last updated on Sep 25, 2018.