Individual provider · Type 1 NPI
Kimberly Diane Eddy, PTA
Physical Therapy Assistant · Myrtle Beach, SC
Practice location
5050 Windsor Green Way Unit 104
Myrtle Beach, SC 29579-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 1057 (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 1760155816
Kimberly Diane Eddy, PTA's National Provider Identifier is 1760155816, issued on Jul 26, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jul 26, 2021.