Individual provider · Type 1 NPI

Shannon Rae Balthazr, PTA

Physical Therapy Assistant · Bristol, TN

NPI number 1891869186 Active

Practice location

1 Medical Park Blvd
Bristol, TN 37620-7430

Call (423) 844-4104 Map

Mailing address

285 Bluff Road
Blountville, TN 37617

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3766 (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 1891869186

Shannon Rae Balthazr, PTA's National Provider Identifier is 1891869186, issued on Nov 20, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bristol, TN. The record was last updated on Jul 8, 2007.