Individual provider · Type 1 NPI
Tiffany Desirea List, LMT, PTA
Physical Therapy Assistant · Melbourne, FL
Practice location
1049 Eber Blvd Ste 103
Melbourne, FL 32904-8767
Mailing address
112 Abalone Rd NW
Palm Bay, FL 32907-2966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MA72585 (FL) |
| Physical Therapy Assistant Primary | 225200000X | PTA29516 (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 1922745751
Tiffany Desirea List, LMT, PTA's National Provider Identifier is 1922745751, issued on May 13, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Melbourne, FL. The record was last updated on May 13, 2022.