Individual provider · Type 1 NPI

Teresa Tyra

Physical Therapy Assistant · London, KY

NPI number 1891991204 Active

Practice location

740 E Laurel Rd
London, KY 40741-8601

Fax (606) 877-3956

Mailing address

PO Box 2328
London, KY 40743-2328

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA00638 (KY)

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 1891991204

Teresa Tyra's National Provider Identifier is 1891991204, issued on Jun 22, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in London, KY. The record was last updated on Jul 8, 2007.