Individual provider · Type 1 NPI

John-Reid Gordon, PTA

Physical Therapy Assistant · Longmont, CO

NPI number 1720339591 Active

Practice location

2210 Main St, Number 135
Longmont, CO 80501-1456

Call (720) 204-1746 Map

Mailing address

PO Box 58
Lyons, CO 80540-0058

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X12730 (CO)

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 1720339591

John-Reid Gordon, PTA's National Provider Identifier is 1720339591, issued on Sep 19, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Longmont, CO. The record was last updated on Sep 19, 2012.