Individual provider · Type 1 NPI

Macie Rose Southard, PTA

Physical Therapy Assistant · Wichita Falls, TX

NPI number 1831816263 Active

Practice location

4309 Old Jacksboro Hwy Ste 101
Wichita Falls, TX 76302-2700

Fax (940) 386-9944

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2173083 (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 1831816263

Macie Rose Southard, PTA's National Provider Identifier is 1831816263, issued on Oct 26, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wichita Falls, TX. The record was last updated on Oct 26, 2022.