Individual provider · Type 1 NPI

Tamra Venesha Gates-Jackson, PTA

Physical Therapy Assistant · Merrillville, IN

NPI number 1861049272 Active

Practice location

101 W 87th Ave
Merrillville, IN 46410-6177

Call (219) 756-0744 Map

Mailing address

1359 W 90th Ave Apt 201
Merrillville, IN 46410-6750

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06002957A (IN)

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 1861049272

Tamra Venesha Gates-Jackson, PTA's National Provider Identifier is 1861049272, issued on Aug 20, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Merrillville, IN. The record was last updated on Aug 20, 2019.