Individual provider · Type 1 NPI

Kim Marie Laird, ATP, PTA

Other Technician · Tyler, TX

NPI number 1861619801 Active

Practice location

401 E Front St Ste 224
Tyler, TX 75702-8250

Call (903) 574-3337 Map

Mailing address

5207 Old Mooringsport Rd
Shreveport, LA 71107-2810

Other practice locations

  • Rt. 1 Box 725 Hwy 96 South, San Augustine, TX 75972 · (936) 275-2900

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X2060503 (TX)
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1861619801

Kim Marie Laird, ATP, PTA's National Provider Identifier is 1861619801, issued on Apr 19, 2007. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Tyler, TX. The record was last updated on Mar 31, 2022.