Individual provider · Type 1 NPI

Ted R. Vidal Ii, PTA, LMT

Physical Therapy Assistant · Las Vegas, NV

NPI number 1740998434 Active

Practice location

2350 Ione Rd
Las Vegas, NV 89183-7943

Mailing address

6823 Ponderosa Way
Las Vegas, NV 89118-2100

Other practice locations

  • 6823 Ponderosa Way, Las Vegas, NV 89118-2100 · (702) 665-4054

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X53320 (CA)
Massage Therapist 225700000XNVMT.5574 (NV)
Physical Therapy Assistant Primary 225200000XA-1516 (NV)

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 1740998434

Ted R. Vidal Ii, PTA, LMT's National Provider Identifier is 1740998434, issued on Nov 10, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 9, 2025.