Individual provider · Type 1 NPI

Lynette Ivy, PTA

Physical Therapy Assistant · Panama City, FL

NPI number 1891066965 Active

Practice location

1937 Jenks Ave
Panama City, FL 32405-4510

Call (850) 769-9148 Map

Mailing address

1301 Beck Ave, Apt. 63
Panama City, FL 32401-1375

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X22143 (FL)

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 1891066965

Lynette Ivy, PTA's National Provider Identifier is 1891066965, issued on Jan 22, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Panama City, FL. The record was last updated on Jan 22, 2012.