Individual provider · Type 1 NPI

Samson O. Lanade Jr., PTA

Physical Therapy Assistant · Jackson, TN

NPI number 1871242628 Active

Practice location

587 Skyline Dr
Jackson, TN 38301-3938

Call (731) 421-6510 Map

Fax (731) 421-6515

Mailing address

1804 Highway 45 Byp Ste 604
Jackson, TN 38305-4403

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X7502 (TN)

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 1871242628

Samson O. Lanade Jr., PTA's National Provider Identifier is 1871242628, issued on Mar 21, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jackson, TN. The record was last updated on Mar 21, 2022.