Individual provider · Type 1 NPI

Larry Coomer Hernandez, PTA

Physical Therapy Assistant · Fort Mohave, AZ

NPI number 1760283345 Active

Practice location

5330 S Highway 95
Fort Mohave, AZ 86426-9225

Call (928) 788-2273 Map

Mailing address

533O S Hwy 95
Fort Mohave, AZ 86426

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X014942 (AZ)

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 1760283345

Larry Coomer Hernandez, PTA's National Provider Identifier is 1760283345, issued on Mar 20, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Mohave, AZ. The record was last updated on Mar 20, 2025.